Provider Demographics
NPI:1346581220
Name:STEVER, ALTARA SUE (CADC I)
Entity Type:Individual
Prefix:MRS
First Name:ALTARA
Middle Name:SUE
Last Name:STEVER
Suffix:
Gender:F
Credentials:CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-2023
Mailing Address - Country:US
Mailing Address - Phone:541-362-5610
Mailing Address - Fax:541-362-5611
Practice Address - Street 1:709 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-2023
Practice Address - Country:US
Practice Address - Phone:541-362-5610
Practice Address - Fax:541-362-5611
Is Sole Proprietor?:No
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR08-06-65101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)