Individual
STEPHANIE J NICOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1508 DIVISION ST, SUITE 205, OREGON CITY, OR 97045-1582
(503) 657-1071
(503) 657-3321
Mailing address
1508 DIVISION ST, SUITE 205, OREGON CITY, OR 97045-1582
(503) 657-1071
(503) 657-3321
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
088007215N5 NMNP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124953
—
OR
Enumeration date
04/28/2006
Last updated
10/31/2011
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