Individual
DEANNA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12540 SW MAIN ST STE 202, TIGARD, OR 97223-6198
(503) 906-9995
Mailing address
12540 SW MAIN ST STE 202, TIGARD, OR 97223-6198
(503) 906-9995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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