Organization
ASHA STEPHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA STEPHEN (OWNER)
(541) 838-0833
Entity
Organization
Contact information
Practice address
2248 9TH ST, SPRINGFIELD, OR 97477-2392
(541) 838-0833
(541) 243-7083
Mailing address
2248 9TH ST, SPRINGFIELD, OR 97477-2392
(541) 838-0833
(541) 243-7083
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
10/20/2023
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