Individual
ERICA STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W MAIN ST, ENTERPRISE, OR 97828-1245
(541) 426-0801
(541) 426-0802
Mailing address
301 W MAIN ST, ENTERPRISE, OR 97828-1245
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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