Individual
MR. PATRICK JON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97303-2511
(503) 362-9957
Mailing address
359 OWENS ST S # 18, SALEM, OR 97302-4264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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