Individual
STEPHANIE ELAINE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 588-0076
Mailing address
255 LANCASTER DR NE, SALEM, OR 97301-5155
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200541242RN
OR
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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