Provider Demographics
NPI:1720223993
Name:STALNAKER, MARGARET B (DEM,CLE)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:STALNAKER
Suffix:
Gender:F
Credentials:DEM,CLE
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:B
Other - Last Name:STALNAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2024 SE CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2245
Mailing Address - Country:US
Mailing Address - Phone:503-238-6262
Mailing Address - Fax:
Practice Address - Street 1:2024 SE CLINTON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-2245
Practice Address - Country:US
Practice Address - Phone:503-238-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist