Individual
MARILYN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15200 SW SPARROW LOOP UNIT 102, BEAVERTON, OR 97007-9358
(808) 463-4287
(503) 961-1779
Mailing address
15200 SW SPARROW LOOP UNIT 102, BEAVERTON, OR 97007-9358
(808) 463-4287
(503) 961-1779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7646
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071290-01
—
HI
05
—
500816150
—
OR
Enumeration date
09/10/2007
Last updated
04/28/2026
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