Stephens, Gary M

Stephens, Gary M is an individual health care provider with primary practice located at 242 Fern Valley Rd , Phoenix OR 97535-9104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stephens, Gary M can be contacted via phone (541) 512-0757.

Contact Information

Primary practice address
242 Fern Valley Rd Phoenix OR 97535-9104
Phone: (541) 512-0757
Fax: (541) 535-6016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3046 Oregon

Profile Details

NPI number 1316098668
LBN Legal business name Stephens, Gary M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Apr 10th, 2008 - about 18 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 1316098668 NPPES
Oregon MEDICAID 269103

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