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Organization
ANNETTE STEVKO
Active
Organization
ANNETTE STEVKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE STEVKO DC,CCSP (OWNER)
(503) 281-3400
Entity
Organization
Contact information
Practice address
4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
(503) 281-3400
Mailing address
4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
(503) 281-3400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1792
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831125897
NPI 1
OR
Enumeration date
03/03/2012
Last updated
03/03/2012
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