Individual
TANNER SCOTT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
14420 SW FARMINGTON RD, BEAVERTON, OR 97005-2504
(503) 610-5157
Mailing address
800 NW 118TH AVE APT 102, PORTLAND, OR 97229-5970
(541) 588-0219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
477927
OR
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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