PATRICK JON STEPHENS

SALEM, OR
NPI1205038510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Mr. PATRICK JON STEPHENS CADC I
3737 PORTLAND RD NE
SALEM, OR 97303-2511
Phone number: 503-362-9957
Mailing Address
Mr. PATRICK JON STEPHENS CADC I
359 OWENS ST S # 18
SALEM, OR 97302-4264
Phone number: