Individual
JOSEPH CLIFFORD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
8145 SE 17TH AVE, PORTLAND, OR 97202-6718
(503) 382-2253
(971) 407-4795
Mailing address
1701 SW COLUMBIA ST APT 308, PORTLAND, OR 97201-2589
(503) 507-8431
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0012757
OR
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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