Individual
JAMIE VICTORIA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
R167931
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R167931
MD
Other
Enumeration date
05/04/2009
Last updated
06/28/2022
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