Poe, Stephanie Maria

Poe, Stephanie Maria is an individual health care provider with primary practice located at 3107 Grand Ave , Astoria OR 97103-2729. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Poe, Stephanie Maria can be contacted via phone (503) 325-6754.

Contact Information

Primary practice address
3107 Grand Ave Astoria OR 97103-2729
Phone: (503) 325-6754
Fax: (503) 338-6268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205020526
LBN Legal business name Poe, Stephanie Maria
Credentials MA, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205020526 NPPES
Oregon Other 6860-MA PACIFIC CARE
Oregon Other J4525-01 PACIFIC CARE
Oregon Other 174029174029 PACIFIC CARE
Oregon Other A023 PACIFIC CARE

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