Individual
JOHANNAH ELIZABETH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 NW BEAVER ST STE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
(541) 447-3093
Mailing address
375 NW BEAVER ST STE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
(541) 447-3093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200340897RN
OR
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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