Individual
MARK C STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 SW RAMSEY AVENUE, GRANTS PASS, OR 97527-5554
(541) 472-7000
(503) 261-6769
Mailing address
P O BOX 4749, MEDFORD, OR 97501-0227
(503) 251-6155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201904712NP-PP
OR
363LF0000X
Family Nurse Practitioner
MS001301
NV
Other
Enumeration date
07/06/2011
Last updated
08/07/2023
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