| Mr Brice Tyler Stanley, PAC | |
|
5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | |
| (541) 534-3435 | |
| (541) 536-8047 |
| Full Name | Mr Brice Tyler Stanley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5600 Huntington Rd, Lapine, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285677575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01027 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brice Tyler Stanley, PAC Po Box 3300, Lapine, OR 97739 Ph: (541) 536-3435 | Mr Brice Tyler Stanley, PAC 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 Ph: (541) 534-3435 |