Individual
STACIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 260-2200
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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