Individual
CASSANDRA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 SE 12TH AVE, 423, PORTLAND, OR 97214-3792
(360) 689-2478
Mailing address
1100 SE 12TH AVE, 423, PORTLAND, OR 97214-3792
(360) 689-2478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09088
OR
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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