Individual
MRS. BRANDEE REBECCA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 COLUMBUS STREET SE, ALBANY, OR 97322
(541) 928-5152
(541) 926-6078
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
281982
OR
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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