Individual
STEPHANIE MARIE EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
342 SE 116TH ST, SOUTH BEACH, OR 97366-9729
(541) 867-7866
Mailing address
342 SE 116TH ST, SOUTH BEACH, OR 97366-9729
(541) 867-7866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200341667RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200341667RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
08/27/2013
Last updated
08/27/2013
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