Individual
AUSTIN JAMES STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8995 SW MILEY RD STE 204, WILSONVILLE, OR 97070-5486
(503) 694-8600
Mailing address
1105 WESTWARD HO RD, LAKE OSWEGO, OR 97034-2839
(503) 577-7086
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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