Individual
ASHLEY RENEE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 612-2566
Mailing address
500 NW MULTNOMAH STREET, SUITE 100, PORTLAND, OR 97232-7558
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6224
OR
Other
Enumeration date
06/07/2010
Last updated
12/29/2021
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