Provider Demographics
NPI:1306359252
Name:LOWE, STEFANIE JOY (DC, MS)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:JOY
Last Name:LOWE
Suffix:
Gender:F
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 AVALON DR UNIT 20
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9585
Mailing Address - Country:US
Mailing Address - Phone:971-344-4208
Mailing Address - Fax:
Practice Address - Street 1:102 E 2ND ST UNIT 3
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1733
Practice Address - Country:US
Practice Address - Phone:971-344-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5863111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation