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1568344018
DERRICK STEPHENS
PORTLAND, OR
NPI
1568344018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2025-07-24
Last Update Date
2025-07-24
Business Address
DERRICK STEPHENS
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-290-8850
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Mailing Address
DERRICK STEPHENS
PO BOX 16576
PORTLAND, OR 97292-0576
Phone number:
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