Individual
MADDISON LEE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, DOULA
Contact information
Practice address
19610 APACHE RD, BEND, OR 97702-8975
(310) 889-4184
Mailing address
19610 APACHE RD, BEND, OR 97702-8975
(310) 889-4184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26747
OR
225700000X
Massage Therapist
Primary
83802
CA
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114720
THW
OR
Enumeration date
11/30/2020
Last updated
02/25/2026
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