Most Relevant Information
Provider Data
| NPI Number: | 1003643123 |
| Provider Name: | MEGAN LOUISE STEPHEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2024 |
| Last Updated: | 09/14/2024 |
Provider Practice Location
6400 SE LAKE RD STE 175
PORTLAND
OR
972222137
Practice Location Phone/Fax
| Phone: | 5039332779 |
| Fax: |
Provider Mailing Location
11125 SE 21ST AVE APT 231
MILWAUKIE
OR
972228279
Provider Mailing Phone/Fax
| Phone: | 5039332779 |
| Fax: |