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Organization
STEPHANIE NANI, DO LLC
Active
Organization
STEPHANIE NANI, DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE NANI DO (OWNER/PRESIDENT)
(503) 850-6935
Entity
Organization
Contact information
Practice address
15962 BOONES FERRY ROAD, SUITE 204, LAKE OSWEGO, OR 97035
(503) 850-6935
Mailing address
15962 BOONES FERRY ROAD, SUITE 204, LAKE OSWEGO, OR 97035
(503) 850-6935
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
DO175986
OR
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A8801
CA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO175986
OR
208D00000X
General Practice Physician
DO175986
OR
Other
Enumeration date
09/17/2010
Last updated
07/21/2022
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