Individual
STEPHANIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2078
(503) 879-2071
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2002
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
112693
OR
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
About Stedi
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