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General NPI Number Information
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NPI Number | 1750823670
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER T STEVENSON
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1707 LANSING AVE. NE
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City | SALEM
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State | OR
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Zip | 97301
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Country | US
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Telephone | 503-589-0700
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Fax | 503-586-0255
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Provider Business Mailing Address
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Address Line | 1707 LANSING AVE. NE
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City | SALEM
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State | OR
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Zip | 97301
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Country | US
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Telephone | 503-589-0700
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Fax | 503-586-0255
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER STEVENSON
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Credential | D.C.
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Telephone | 330-418-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15336
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3784
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License Number State | OR
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