| Doctor Name: | DR. STEPHANIE ANNE AXMAN |
| NPI Number: | 1013172832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD28770 |
| Business Practice Address: | 3003 Willamette St Eugene, OR - 974053241 |
| Business Phone Number: | 5416544141 |
| Business Fax Number: | 5416544150 |
| Mailing Address: | 3003 Willamette St, EUGENE |
| State: | OR |
| Postal Code: | 974053241 |
| Phone Number: | 5039361774 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | MD28770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |