Individual
STEPHANIE M JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 NE 122ND AVE BLDG 1, PORTLAND, OR 97230-1049
(860) 966-8450
Mailing address
4900 NE 122ND AVE BLDG 1, PORTLAND, OR 97230-1049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013335
OR
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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