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Madeleine J Stack
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1275293326

Madeleine J Stack is a Student in an Organized Health Care Education/Training Program based in Lebanon, OR. Madeleine J Stack practices in Lebanon, OR. The NPI Number for Madeleine J Stack is 1275293326 and holds a License No. (Oregon).

The current practice location address for Madeleine J Stack is 200 Mullins Dr, Lebanon, OR and can be reached out via phone at 541-259-0235.

Location: 200 Mullins Dr, Lebanon, OR, 97355-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275293326
Provider Name
Madeleine J Stack
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Mullins Dr, Lebanon, OR, 97355-3983
Phone Number
541-259-0235
Fax Number
Provider Enumeration Date
12/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
541-259-0235
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3983
Phone Number
541-259-0235
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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