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Provider Information for 1396981536


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STEVEN B STOLZOFF LCSW


Sex: Male

NPI: 1396981536
Last Updated: 2012-07-06
Certification Date:

Details

NameValue
NPI1396981536
Enumeration Date2008-12-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2051 KAEN RD STE 367
OREGON CITY, OR 97045-4035
United States

Phone: 503-742-5300 | Fax:503-655-8350
 
Primary Practice Address 9775 SE SUNNYSIDE ROAD
SUITE 200
OREGON CITY, OR 97045-4076
United States

Phone: 503-794-3838 | Fax:503-794-3850
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalORL4199