Individual
ELIZABETH ROSE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97381 NEWPORT LANE, COOS BAY, OR 97420
(541) 290-1935
Mailing address
93781 NEWPORT LN, COOS BAY, OR 97420-4067
(541) 290-1935
(541) 267-0194
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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