Wylie Stokes, CRM, PRC

NPI #1326578576 in Siletz, Oregon

Provider Information

NPI Number: 1326578576
Entity Type: Individual
Name: Wylie Stokes, CRM, PRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CRM, PRC
Enumeration Date: Jun 19, 2017
Last Updated: Jun 19, 2017

Practice Location

Address: 200 GWEE SHUT RD
City: Siletz
State: Oregon
ZIP Code: 97380-2036
Phone: (541) 444-8286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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