Individual
CHRISTA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 290-8850
Mailing address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(503) 290-8850
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000104809
OR
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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