Individual
BECKY R STOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38770 NW BEECH ST, SCIO, OR 97374-9536
(503) 394-3762
Mailing address
PO BOX 457, SCIO, OR 97374-0457
(503) 991-9221
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
200111429
OR
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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