LAQUITA STANSBURY

Specialist

Active Individual
NPI: 1760605281

Practice Address

1217 NE BURNSIDE RD
SUITE 502
Gresham, OR 97030

Phone: (503) 492-3910

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 10015 (OR)

Frequently Asked Questions

NPI 1760605281 is the National Provider Identifier for LAQUITA STANSBURY, a Specialist provider located in Gresham, OR. This NPI was enumerated on April 11, 2007.
LAQUITA STANSBURY practices at 1217 NE BURNSIDE RD, SUITE 502, Gresham, OR 97030.

Quick Facts

NPI
1760605281
Type
Individual
Enumerated
Apr 11, 2007
Last Updated
Jul 8, 2007

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