Individual
STEPHENIE JO MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 BAKER ST, BAKER CITY, OR 97814-2541
(541) 239-5274
Mailing address
2355 BAKER ST, BAKER CITY, OR 97814-2541
(541) 239-5274
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
527810
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527810
—
OR
Enumeration date
06/12/2019
Last updated
06/12/2019
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