Individual
STACY ANN LIPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(541) 772-2763
(541) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
202010833RN
OR
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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