Individual
DEVERON STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30789 SW BOONES FERRY RD, SUITE P, WILSONVILLE, OR 97070-7842
(503) 682-6778
Mailing address
30789 SW BOONES FERRY RD, SUITE P, WILSONVILLE, OR 97070-7842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21465
OR
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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