STEFAN NORNHOLM

PORTLAND, OR
NPI1265060354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-04-01
Last Update Date2020-04-01
Business Address
STEFAN NORNHOLM
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
STEFAN NORNHOLM
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: