Individual
STEPHANIE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-6290
Mailing address
875 OAK ST SE, STE 3040, SALEM, OR 97301-3906
(503) 472-6161
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201505345NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690362
—
OR
Enumeration date
08/04/2015
Last updated
11/22/2021
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