Individual
STEPHEN THOMAS SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E 1ST ST, NEWBERG, OR 97132-2909
(971) 264-0769
Mailing address
PO BOX 636, NEWBERG, OR 97132-0636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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