Individual
DARRICK STIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2233
Mailing address
830 NE 47TH AVE, PORTLAND, OR 97213
(503) 215-2233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015274
OR
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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