Individual provider · Type 1 NPI

Deveron Stephen

Massage Therapist · Wilsonville, OR

NPI number 1124403548 Active

Practice location

30789 SW Boones Ferry Rd, Suite P
Wilsonville, OR 97070-7842

Call (503) 682-6778 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21465 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124403548

Deveron Stephen's National Provider Identifier is 1124403548, issued on Jul 27, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Jul 27, 2015.