Individual
MARY ELIZABETH STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10670 NE CORNELL RD STE 101, HILLSBORO, OR 97124-9221
(503) 216-9360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202111208NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP9808
AZ
Other
Enumeration date
02/05/2017
Last updated
05/06/2024
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