Individual
DR. JILL STANARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4230 SE 103RD AVE, PORTLAND, OR 97266-2424
(503) 760-5415
Mailing address
4230 SE 103RD AVE, PORTLAND, OR 97266-2424
(503) 760-5415
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
846
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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