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Individual

PAUL K STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, CADCIII

Contact information

Practice address
11211 SE 82ND AVE, SUITE O, HAPPY VALLEY, OR 97086-7624
(503) 722-6200
(503) 722-6545
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
96-10-162
OR
1041C0700X
Clinical Social Worker
Primary
L4153
OR

Other

Enumeration date
07/03/2007
Last updated
12/18/2012
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