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STEPHANIE NICOLE D'ANDREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 216-9200
Mailing address
PO BOX 31001-4180, PASADENA, CA 91110-4180
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201703689NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201703689NP-PP
OR

Other

Enumeration date
09/29/2015
Last updated
08/24/2025
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