Individual
STEPHANIE L BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1684 ARTHUR ST, EUGENE, OR 97402-3426
(541) 232-7817
Mailing address
1684 ARTHUR ST, EUGENE, OR 97402-3426
(541) 232-7817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091007366RN
OR
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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