Thora Jane Stacy
Dental Assistant
2300 N.e. Lacncaster Dr.
Salem
, Oregon 97303
Thora Jane Stacy
Dental Assistant
2300 N.e. Lacncaster Dr.
Salem
, Oregon 97303
(503) 370-4313
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Thora Jane Stacy
- 4255 Cordon Rd Ne
- Salem, OR
- Zip : 97305-3738
- Phone : (503) 370-4313
Second Address
- Thora Jane Stacy
- 2300 N.e. Lacncaster Dr.
- Salem, OR
- Zip : 97303
- Phone : (503) 370-4313
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1245590553 |
|---|---|
| Provider Name | Thora Jane Stacy |
| First Address | Salem, OR 97305-3738 |
| Second Address | Salem, OR 97303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2012 |
| Last Update Date | 21/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.