Individual
MRS. KATHERINE MARIE MANNING STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1100 SOUTHGATE, SUITE 17, PENDLETON, OR 97801-3974
(541) 276-1561
Mailing address
1100 SOUTHGATE, SUITE 17, PENDLETON, OR 97801-3974
(541) 276-1561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5406
OR
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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