Individual
STEVEN D STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1022 NE 181ST AVE, C1, PORTLAND, OR 97230
(971) 208-5166
Mailing address
P.O. BOX 8505, PORTLAND, OR 97207
(971) 213-5930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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