Individual
JENNY STEGEMAN-OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 SW 26TH ST, CORVALLIS, OR 97330-5427
(541) 768-8800
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22324
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288309
—
OR
Enumeration date
05/09/2006
Last updated
07/20/2023
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