Individual
STEPHANIE L LETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-2826
Mailing address
1911 MOUNTAIN VIEW LN, SUITE 200, FOREST GROVE, OR 97116-2382
(503) 357-2826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13005
OR
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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