Individual
KAITLYN STEFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
6901 SE LAKE RD STE 27, MILWAUKIE, OR 97267-2195
(971) 715-0754
(971) 206-9686
Mailing address
5331 S MACADAM AVE STE 258, #1015, PORTLAND, OR 97239
(971) 715-0754
(971) 206-9686
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10019648
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019648
ANCC
OR
01
—
1074489
CERTIFIED NURSE PRACTITIONER
TX
01
—
931890
RN
TX
Enumeration date
04/07/2022
Last updated
10/30/2024
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