Individual
KSENIYA A STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. O.M.
Contact information
Practice address
124 NW 2ND ST, PRINEVILLE, OR 97754-1808
(541) 480-4970
(425) 876-2274
Mailing address
124 NW 2ND ST, PRINEVILLE, OR 97754-1808
(541) 480-4970
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01017
OR
171100000X
Acupuncturist
Primary
AC60066963
WA
Other
Enumeration date
01/04/2007
Last updated
01/02/2013
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