Individual
MR. STEPHEN ROSS HUBBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LMT
Contact information
Practice address
15214 SW MILLIKAN WAY APT 726, BEAVERTON, OR 97003-6616
(928) 963-1690
Mailing address
15214 SW MILLIKAN WAY APT 726, BEAVERTON, OR 97003-6616
(928) 963-1690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10017676
OR
225700000X
Massage Therapist
25776
OR
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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