Stephanie Vongphachanh

NPI #1366198277 in Gresham, Oregon

Provider Information

NPI Number: 1366198277
Entity Type: Individual
Name: Stephanie Vongphachanh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 1851 NW CIVIC DR
City: Gresham
State: Oregon
ZIP Code: 97030-5566
Phone: (971) 292-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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