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LIDIJA STJEPANOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202211050NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202211050NP-PP
OREGON STATE BOARD OF NURSING NP NUMBER
Enumeration date
07/26/2022
Last updated
07/26/2022
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