Individual
STEPHANIE JOEL KANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1232 NW 23RD AVE, PORTLAND, OR 97210-2906
(503) 227-3450
(503) 227-3612
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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