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Individual

STEPHANIE DANIELLE WORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
831 NW COUNCIL DR STE 301, GRESHAM, OR 97030-3725
(503) 661-9700
Mailing address
1948 FURLONG PL, WEST LINN, OR 97068-2539
(971) 404-7185

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150256
OR

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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