Individual
STEPHANIE LUX SILLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
(503) 954-2122
Mailing address
18633 SE STARK ST STE 400, PORTLAND, OR 97233-5468
(503) 489-1760
(503) 489-1763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201905671NP-PP
OR
Other
Enumeration date
08/01/2019
Last updated
03/11/2024
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