Individual
DR. STEPHEN DOUGLAS SAEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LAC
Contact information
Practice address
15455 NW GREENBRIER PKWY, SUITE 240, BEAVERTON, OR 97006-7374
(503) 617-0450
(503) 617-0475
Mailing address
15455 NW GREENBRIER PKWY, SUITE 240, BEAVERTON, OR 97006-7374
(503) 617-0450
(503) 617-0475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1425
OR
171100000X
Acupuncturist
AC00792
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023141
—
OR
05
—
807417100
—
ID
05
—
8445124
—
WA
01
—
93125743797239A626
TRIWEST
OR
05
—
PS424OR
—
OR
Enumeration date
10/26/2006
Last updated
08/02/2011
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