Individual
SARA STANCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
4916 NE 33RD AVE APT SUITE, PORTLAND, OR 97211-7060
(215) 260-5628
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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