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1205038510
PATRICK JON STEPHENS
SALEM, OR
NPI
1205038510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. PATRICK JON STEPHENS CADC I
3737 PORTLAND RD NE
SALEM, OR 97303-2511
Phone number: 503-362-9957
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Mailing Address
Mr. PATRICK JON STEPHENS CADC I
359 OWENS ST S # 18
SALEM, OR 97302-4264
Phone number:
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