Individual
STEPHANIE KOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST, PORTLAND, OR 97215-1699
(503) 215-9800
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-9800
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
201507429RN
OR
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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