Individual
DR. TAYLOR ROSE STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
19700 SUNSHINE WAY, BEND, OR 97702-1984
(503) 936-8064
Mailing address
19700 SUNSHINE WAY, BEND, OR 97702-1984
(503) 836-8064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201904289NP-PP
OR
363LF0000X
Family Nurse Practitioner
363LF0000X
OR
Other
Enumeration date
08/30/2019
Last updated
04/14/2020
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