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Individual

CLIFFORD BRIAN STANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 240-8409
Mailing address
71904 PATAWA RD, PENDLETON, OR 97801
(541) 701-1981
(541) 278-7568

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW1909
OR

Other

Enumeration date
06/30/2017
Last updated
07/21/2022
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