Individual
LISA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
(541) 284-5198
Mailing address
330 S GARDEN WAY, STE 390, EUGENE, OR 97401-8179
(541) 334-3350
(541) 284-5198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA152783
OR
Other
Enumeration date
10/07/2010
Last updated
08/02/2017
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