Individual
DR. STEPHANIE JOY VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SW VALONA WAY, PORTLAND, OR 97219-6827
(503) 964-7475
Mailing address
4510 SW VALONA WAY, PORTLAND, OR 97219-6827
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
OR
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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