Individual
JOHN CLAYTON STADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR DC
Contact information
Practice address
12775 SW BROADWAY, BEAVERTON, OR 97005
(503) 644-3022
Mailing address
12775 SW BROADWAY, BEAVERTON, OR 97005
(503) 644-3022
(503) 644-3022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2051
OR
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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