Individual
FRANCINE STACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Mailing address
3650 SE RURAL ST, PORTLAND, OR 97202-8365
(503) 771-2600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
461928
OR
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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