Individual
STEPHANIE M CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-2522
Mailing address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-2522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012425
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029054
—
OR
01
—
838353003
BLUECROSS
OR
Enumeration date
02/01/2007
Last updated
04/16/2024
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