Individual
STEPHANIE IWALANI DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1314 SW KALAMA AVE, REDMOND, OR 97756-3054
(541) 923-5800
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201609258NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500718029
—
OR
Enumeration date
04/20/2013
Last updated
07/21/2022
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