Provider Demographics
NPI:1891055257
Name:SCHLEIPFER, STEPHEN (LAC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:SCHLEIPFER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 SW COMUS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-7417
Mailing Address - Country:US
Mailing Address - Phone:503-892-5160
Mailing Address - Fax:503-892-5160
Practice Address - Street 1:3727 SW COMUS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-7417
Practice Address - Country:US
Practice Address - Phone:503-892-5160
Practice Address - Fax:503-892-5160
Is Sole Proprietor?:No
Enumeration Date:2012-05-19
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC154595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist