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Stephanie Clodfelter

Social Worker, Clinical in Beaverton, OR. Individual provider (NPI-1).

NPI number1154872091
StatusActive
Last updated in NPPESOct 15, 2016

Details

NPI
1154872091
Entity type
Individual (NPI-1)
Name
Stephanie Clodfelter
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 15, 2016
Last updated
Oct 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

14025 Sw Farmington Rd # 160
Beaverton, OR 97005-2512

Phone 503-258-4200

Mailing address

11035 Ne Sandy Blvd
Portland, OR 97220-2553

Phone 503-258-4200

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