MS. Stacy L Darby, LMT

NPI #1104100288 in Portland, Oregon

Provider Information

NPI Number: 1104100288
Entity Type: Individual
Name: MS. Stacy L Darby, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Oct 6, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 1016 SE 12TH AVE
City: Portland
State: Oregon
ZIP Code: 97214-2513
Phone: (503) 753-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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