STEPHANIE CRYSTAL JENEE FOX

PORTLAND, OR
NPI1174053854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60693822)
Enumeration Date2017-06-15
Last Update Date2022-07-21
Business Address
Mrs. STEPHANIE CRYSTAL JENEE FOX CO 60693822
1231 NE 73RD AVE
PORTLAND, OR 97213-6110
Phone number: 503-467-1449
Mailing Address
Mrs. STEPHANIE CRYSTAL JENEE FOX CO 60693822
1231 NE 73RD AVE
PORTLAND, OR 97213-6110
Phone number: 503-467-1449
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