Individual
MS. STEPHANIE MEAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
10130 SW NIMBUS AVE, STE. D3, PORTLAND, OR 97223-4335
(503) 597-5521
Mailing address
10130 SW NIMBUS AVE, STE. D3, PORTLAND, OR 97223-4335
(503) 597-5521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R1750
OR
106H00000X
Marriage & Family Therapist
Primary
R1745
OR
Other
Enumeration date
11/16/2009
Last updated
11/19/2009
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