Heidi Stachelrodt LMT

NPI 1003024654 - Specialist - 174400000X

NPI Details
NPI 1003024654
Gender Female
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1222 SE DIVISION ST
PORTLAND OR, 97202-1017, US
Phone (503) 231-9879
Fax (503) 233-4732
Business Location
1222 SE DIVISION ST
PORTLAND OR, 97202-1017, US
Phone (503) 231-9879
Fax (503) 233-4732
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 293488
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According to our database, Heidi Stachelrodt LMT NPI is 1003024654, taxonomy code is 174400000X and license number is 293488, license state is located at Oregon. Heidi Stachelrodt LMT physically located at 1222 Se Division St, Portland OR, 97202-1017. NPI Number Heidi Stachelrodt LMT has the Individual type.

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1003024654 NPI number is provided on an as is basis without warranty of any kind. 1003024654 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Stachelrodt LMT are for informational purposes only.