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Individual

MRS. SAMANTHA ANN STEVENSON-STOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 97015
(503) 215-2110
Mailing address
9290 SE SUNNYBROOK BLVD STE 120, CLACKAMAS, OR 97015-6802
(503) 215-2110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA171426
OR
363A00000X
Physician Assistant
PA51282
CA
363A00000X
Physician Assistant
PA60631240
WA

Other

Enumeration date
11/26/2013
Last updated
03/25/2021
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