Individual
ERIN DANIELLE STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA165446
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2013
Last updated
12/15/2020
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