Individual
DR. STEPHANIE QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
15661 SE 82ND DR, CLACKAMAS, OR 97015-9580
(503) 343-9851
Mailing address
15661 SE 82ND DR, CLACKAMAS, OR 97015-9580
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
10052209
OR
363LP2300X
Primary Care Nurse Practitioner
11003517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11003517
APRN LICENSE
FL
Enumeration date
10/07/2019
Last updated
02/17/2026
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