Individual
JORDIN ANTON STEPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 PORTLAND RD NE STE 100, SALEM, OR 97301-0312
(971) 703-4623
(971) 266-5668
Mailing address
1129 COBURG RD APT 1, EUGENE, OR 97401-5185
(971) 703-4623
(971) 266-5668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-05-11119
OR
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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