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1740705110
CLAYTON STEPHENS
PORTLAND, OR
NPI
1740705110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
CLAYTON STEPHENS
17720 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 541-654-7654
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Mailing Address
CLAYTON STEPHENS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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