Dillard, Stacey Audrene

Dillard, Stacey Audrene is an individual health care provider with primary practice located at 1700 E 19Th St , The Dalles OR 97058-3317. She recently has only one registered license in Other Service Providers / Reflexologist, which is considered as her primary health care specialty. Dillard, Stacey Audrene can be contacted via phone (541) 506-5788.

Contact Information

Primary practice address
1700 E 19Th St The Dalles OR 97058-3317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X 7742 Oregon

Profile Details

NPI number 1518212273
LBN Legal business name Dillard, Stacey Audrene
Credentials L.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Jul 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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