Provider Demographics
NPI:1881985018
Name:STANO CHIROPRACTIC
Entity type:Organization
Organization Name:STANO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JOSEPHINE
Authorized Official - Last Name:STANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-438-4733
Mailing Address - Street 1:58147 COLUMBIA RIVER HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-6226
Mailing Address - Country:US
Mailing Address - Phone:503-438-4733
Mailing Address - Fax:503-410-5351
Practice Address - Street 1:58147 COLUMBIA RIVER HWY
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-6226
Practice Address - Country:US
Practice Address - Phone:503-438-4733
Practice Address - Fax:503-410-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty