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Individual

CHRISTOPHER STAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2503 NW RALEIGH ST APT 202, PORTLAND, OR 97210-2489
(415) 450-0630
Mailing address
2503 NW RALEIGH ST APT 202, PORTLAND, OR 97210-2489
(415) 450-0630

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201704574RN
OR

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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