Individual
STEPHANIE BAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
5441 SE BELMONT ST, PORTLAND, OR 97215-1837
(971) 350-2322
(971) 350-2322
Mailing address
4033 SE 91ST AVE, PORTLAND, OR 97266-2817
(971) 350-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T1403
OR
Other
Enumeration date
10/12/2012
Last updated
10/22/2019
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