Stacy, Thora Jane

Stacy, Thora Jane is an individual health care provider with primary practice located at 2300 N.E. Lacncaster Dr. , Salem OR 97303. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Stacy, Thora Jane can be contacted via phone (503) 370-4313.

Contact Information

Primary practice address
2300 N.E. Lacncaster Dr. Salem OR 97303
Phone: (503) 370-4313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1245590553
LBN Legal business name Stacy, Thora Jane
Credentials CDA EFDA
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated May 21st, 2012 - about 13 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.

Request for update

Popular Providers