Provider Demographics
NPI:1669838884
Name:WORKMAN, STEPHEN K (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:K
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16677 NE RUSSELL ST APT 113
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-5963
Mailing Address - Country:US
Mailing Address - Phone:713-409-9234
Mailing Address - Fax:
Practice Address - Street 1:16677 NE RUSSELL ST APT 113
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-5963
Practice Address - Country:US
Practice Address - Phone:713-409-9234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor