Individual
RICK DEAN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 ELM ST SW, SUITE 101, ALBANY, OR 97321-2062
(541) 812-5820
(541) 812-5821
Mailing address
832 ELM ST SW, SUITE 101, ALBANY, OR 97321-2062
(541) 812-5820
(541) 812-5821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD11115
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD11115
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261305
—
OR
Enumeration date
07/25/2006
Last updated
03/04/2013
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