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1003260993
STEPHANIE WHITFIELD
PORTLAND, OR
NPI
1003260993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11111)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
-- STEPHANIE WHITFIELD
324 NW DAVIS STREET
PORTLAND, OR 97209
Phone number: 503-226-2203
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Mailing Address
-- STEPHANIE WHITFIELD
324 NW DAVIS STREET
PORTLAND, OR 97209
Phone number: 503-226-2203
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