Individual
VASHTI STUTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8411
Mailing address
3916 S CORBETT AVE APT 407, PORTLAND, OR 97239-4484
(541) 735-2322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10003175
OR
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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