Individual
MATTHEW STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(707) 337-7468
Mailing address
548 DANBY CT, PETALUMA, CA 94954-8508
(707) 337-7468
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4480
CA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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