Individual
MS. STEPHANIE TAYLAN GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7632 SW DURHAM RD STE 105, TIGARD, OR 97224-7597
(503) 828-2457
Mailing address
2350 SW MADISON ST, PORTLAND, OR 97205-1025
(415) 279-4128
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
20024228RN
OR
163WH0200X
Home Health Registered Nurse
RN61077841
WA
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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