Individual
DR. SALLY A STEPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, PSY.D.
Contact information
Practice address
6635 N BALTIMORE AVE, STE 228, PORTLAND, OR 97203-5454
(503) 477-9527
(503) 477-9529
Mailing address
6635 N BALTIMORE AVE, STE 228, PORTLAND, OR 97203-5454
(503) 477-9527
(503) 477-9529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-005209
IL
225X00000X
Occupational Therapist
Primary
489831
OR
Other
Enumeration date
08/22/2006
Last updated
05/10/2011
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