Individual
STEPHANIE HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
10822 SE 82ND AVE, HAPPY VALLEY, OR 97086-7658
(503) 654-7444
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-5400
(503) 269-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/18/2015
Last updated
10/15/2020
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