Individual
STEPHANIE A DEWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10201 SE MAIN ST STE 29, PORTLAND, OR 97216-2937
(503) 261-4475
(503) 261-4476
Mailing address
10201 SE MAIN ST STE 29, PORTLAND, OR 97216-2937
(503) 261-4475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195768
OR
Other
Enumeration date
06/26/2018
Last updated
02/14/2025
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