Individual
PATRICIA LORRAINE STUPFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1002 BELLEVUE ST SE, SALEM, OR 97301-4006
(503) 814-5352
Mailing address
PO BOX 824, SALEM, OR 97308-0824
(503) 371-8346
(503) 371-8334
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
89003099N3
OR
363L00000X
Nurse Practitioner
Primary
089003099N3 ANP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049148
—
OR
Enumeration date
11/20/2006
Last updated
08/12/2019
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