DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHANIE THORNEHAVEN

MEDICARE: STEPHANIE THORNEHAVEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1720627250
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE THORNEHAVEN
Provider Business Mailing Address
First Line : 3415 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3371
Country : US
Telephone Number : 503-234-9591
Fax Number :
Provider Business Practice Location Address
First Line : 3415 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3371
Country : US
Telephone Number : 503-234-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2020
Last Update Date : 02/13/2026

Similar Medicare Providers

1487247912 — MARIAH DANIELLE NICELY
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1104504869 — NATHAN JAYLEN NICKERSON
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1568484103 — KELLEY S. FELLMAN MD
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax:
1093873382 — TRILLIUM FAMILY SERVICES, INC.
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-234-9591
Practice Fax: 503-205-0193
1750431649 — LANA JOY SHOTWELL KUBO MA
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-813-7705
Practice Fax: 503-205-0188
1831249804 — MS. SANDRA LYNNE BOYLE MS, LPC
Practice Location Address:
3415 SE POWELL BLVD
PORTLAND, OR
97202-3371
Practice Phone: 503-869-2430
Practice Fax: 503-233-0187

Directions to “ STEPHANIE THORNEHAVEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.