Individual
STEPHEN JAY CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0566
Mailing address
8369 CASON RD, GLADSTONE, OR 97027-1458
(503) 680-7975
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
090006997RN
OR
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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