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Individual

DR. SAMARA LOREN STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
6110 N LOMBARD ST STE B, PORTLAND, OR 97203-4122
(503) 897-9711
(503) 854-0194
Mailing address
6110 N LOMBARD ST STE B, PORTLAND, OR 97203-4122
(503) 897-9711
(503) 854-0194

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4174
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500753516
OR
Enumeration date
03/27/2018
Last updated
12/04/2024
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