Most Relevant Information
Provider Data
| NPI Number: | 1003360090 |
| Provider Name: | JOHN STANTON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2016 |
| Last Updated: | 04/09/2019 |
Provider Practice Location
29549 SW VILLEBOIS DR S
WILSONVILLE
OR
970707329
Practice Location Phone/Fax
| Phone: | 5034270172 |
| Fax: | 5034270798 |
Provider Mailing Location
3587 HEATHROW WAY
MEDFORD
OR
975044004
Provider Mailing Phone/Fax
| Phone: | 5418588170 |
| Fax: |