Doctor Name: | JODI RENEE STEFFEN |
NPI Number: | 1497905285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 11831 |
Business Practice Address: | 1880 Lancaster Dr Ne Suite 101 Salem, OR - 973051089 |
Business Phone Number: | 5033621002 |
Business Fax Number: | 5033621006 |
Mailing Address: | 1246 46th Pl Se, SALEM |
State: | OR |
Postal Code: | 973176005 |
Phone Number: | 5033857300 |
Fax Number: | 5038733034 |
NPI Enumeration Date: | 09/29/2008 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |