Most Relevant Information
Provider Data
| NPI Number: | 1003653767 |
| Provider Name: | STEPHANIE KURZENHAUSER MSW, CSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | A15315 |
Most Important Dates
| Enumeration Date: | 07/10/2024 |
| Last Updated: | 07/10/2024 |
Provider Practice Location
1201 SE 223RD AVE STE 165
GRESHAM
OR
970302577
Practice Location Phone/Fax
| Phone: | 9719992693 |
| Fax: |
Provider Mailing Location
532 N MAIN AVE
GRESHAM
OR
970307244
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |