Individual
STEPHANIE THORNEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223-9058
(503) 308-9653
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
Primary
R11410
OR
Other
Enumeration date
01/01/2020
Last updated
03/04/2026
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