Individual
CORA BUNDY STOAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3131 E MADISON ST, STE 205, SEATTLE, WA 98112-4263
(206) 324-5389
(206) 324-5391
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8334567
—
WA
Enumeration date
11/23/2005
Last updated
11/01/2012
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