Organization · Type 2 NPI
Stephanie
Health Service Clinic/Center · Portland, ME
NPI number
1134699606
Active
Practice location
222 Saint John St Ste 226
Portland, ME 04102-3058
Mailing address
28 Smith St
South Portland, ME 04106-2238
Other practice locations
- 28 Smith St, South Portland, ME 04106-2238 · (207) 871-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1134699606
Stephanie's National Provider Identifier is 1134699606, issued on Nov 27, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Portland, ME. The record was last updated on Nov 27, 2018.