Asha Stephen
Clinic/Center, Adult Mental Health in Springfield, OR. Organization (NPI-2).
NPI number1154802403
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1154802403
- Entity type
- Organization (NPI-2)
- Legal business name
- Asha Stephen
- Organization subpart
- No
- Enumeration date
- Aug 24, 2018
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
2248 9th StSpringfield, OR 97477-2392
Phone 541-838-0833 · Fax 541-243-7083
Mailing address
2248 9th StSpringfield, OR 97477-2392
Phone 541-838-0833 · Fax 541-243-7083
Authorized official
Asha Stephen
Owner
5418380833
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