Most Relevant Information
Provider Data
| NPI Number: | 1003260993 |
| Provider Name: | STEPHANIE WHITFIELD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 11111 |
Most Important Dates
| Enumeration Date: | 04/18/2016 |
| Last Updated: | 04/18/2016 |
Provider Practice Location
324 NW DAVIS STREET
PORTLAND
OR
97209
Practice Location Phone/Fax
| Phone: | 5032262203 |
| Fax: |
Provider Mailing Location
324 NW DAVIS STREET
PORTLAND
OR
97209
Provider Mailing Phone/Fax
| Phone: | 5032262203 |
| Fax: |