Individual
MISS STEPHANIE LYN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
4253 SE 182ND AVE, GRESHAM, OR 97030-5083
(503) 661-5090
(503) 489-2320
Mailing address
4253 SE 182ND AVE, GRESHAM, OR 97030-5083
(503) 661-5090
(503) 489-2320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11569
OR
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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