Individual
MS. STEPHANIE GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 N GRAHAM ST STE 585, PORTLAND, OR 97227-1654
(503) 413-3690
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201903627NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60798116
WA
Other
Enumeration date
04/25/2007
Last updated
07/02/2026
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