Individual
STEPHANIE R TEAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
117 NW 8TH STREET, SUITE 3, MCMINNVILLE, OR 97128
(503) 974-0997
(503) 716-4632
Mailing address
PO BOX 933, MCMINNVILLE, OR 97128
(503) 974-0997
(503) 716-4632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10594
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500685732
—
OR
Enumeration date
09/14/2010
Last updated
05/30/2025
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