Individual
JUDITH DOLENE STENSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424-1224
(541) 942-7000
(541) 942-5550
Mailing address
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424-1224
(541) 942-7000
(541) 942-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200250162NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168395
—
OR
01
—
R103163
MEDICARE PART B
—
Enumeration date
02/07/2006
Last updated
10/14/2009
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