Individual
VICKIE LYNN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
920 COUNTRY CLUB RD STE 220B, EUGENE, OR 97401
(541) 342-5012
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
096007395RN
OR
163W00000X
Registered Nurse
9316957
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
201803789CRNA
OR
Other
Enumeration date
03/26/2013
Last updated
07/11/2018
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