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Individual

GERRI RAVYN STANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
4050 NE BROADWAY ST, PORTLAND, OR 97232-1828
(503) 754-8802
(503) 662-6142
Mailing address
6211 NE CLACKAMAS ST, PORTLAND, OR 97213-4919
(503) 754-8802

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
T3519
OR
106H00000X
Marriage & Family Therapist
171100000X
Acupuncturist
Primary
AC00806
OR

Other

Enumeration date
11/22/2006
Last updated
04/17/2026
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