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1114889979
JORDIN ANTON STEPAN
SALEM, OR
NPI
1114889979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 24-05-11119)
Enumeration Date
2025-12-01
Last Update Date
2025-12-01
Business Address
JORDIN ANTON STEPAN
3710 PORTLAND RD NE STE 100
SALEM, OR 97301-0312
Phone number: 971-703-4623
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Mailing Address
JORDIN ANTON STEPAN
1129 COBURG RD APT 1
EUGENE, OR 97401-5185
Phone number: 971-703-4623
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