MR. Collin Derek Stoll, L.AC.

NPI #1205056975 in Tigard, Oregon

Provider Information

NPI Number: 1205056975
Entity Type: Individual
Name: MR. Collin Derek Stoll, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11900 SW GREENBURG RD
City: Tigard
State: Oregon
ZIP Code: 97223-6453
Phone: (503) 620-5556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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