Individual
ANGELA LYNN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #15856
Contact information
Practice address
716 SW 11TH ST, REDMOND, OR 97756-2648
(541) 948-7090
Mailing address
810 NW TEAK AVE, REDMOND, OR 97756-1234
(541) 948-7090
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LMT #15856
OR
Other
Enumeration date
07/19/2016
Last updated
05/07/2026
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