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Tanisha Stafford
NPI 1881112274 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11418 Se 90th Ave Apt 120
Happy Valley, OR 97086 - Phone
- (330) 687-1464
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 104100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon