Individual
STEPHANI JOY WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
(503) 238-5202
Mailing address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
(503) 238-5202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
108979
OR
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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