Individual
STEPHEN SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I, QMHP-R, MSW
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-214
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/07/2021
Last updated
10/17/2024
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