Individual
DOROTHY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 FEE ST, BUTTE FALLS, OR 97522-0059
(541) 865-7890
Mailing address
PO BOX 133, BUTTE FALLS, OR 97522-0133
(541) 865-7890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22725
OR
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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