Individual
SAMANTHA ANNE STOFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, PSS
Contact information
Practice address
10209 SE DIVISION ST BLDG C, PORTLAND, OR 97266-1372
(503) 228-9229
(502) 228-9558
Mailing address
3650 NE MALLORY AVE APT 202, PORTLAND, OR 97212-3085
(971) 985-2225
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3543
OR
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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