Individual
STACY SHARLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1569 SW NANCY WAY, SUITE 1, BEND, OR 97702-3234
(541) 389-3406
(541) 389-3492
Mailing address
1569 SW NANCY WAY STE 1, BEND, OR 97702-3234
(541) 389-3406
(541) 303-1449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
111NN1001X
Nutrition Chiropractor
Primary
27-3104
OR
Other
Enumeration date
12/08/2006
Last updated
01/24/2019
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