Individual
MR. CHAD N. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
Q.M.H.A.
Contact information
Practice address
1073 OAK ST SE, SALEM, OR 97301-4018
(503) 932-7265
Mailing address
2591 13TH ST, NORTH BEND, OR 97459-1706
(541) 908-4124
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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