Provider Demographics
NPI:1205006392
Name:VORIS, STEPHEN WALKER (MSW)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:WALKER
Last Name:VORIS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2659 COMMERCIAL STREET SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4496
Mailing Address - Country:US
Mailing Address - Phone:503-581-0657
Mailing Address - Fax:503-581-4025
Practice Address - Street 1:2659 COMMERCIAL STREET SE
Practice Address - Street 2:SUITE 200
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4496
Practice Address - Country:US
Practice Address - Phone:503-581-0657
Practice Address - Fax:503-581-4025
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL 04781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical