Individual
BRIAN STUEPFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY - CDRCP, PORTLAND, OR 97239-3011
(503) 494-0829
Mailing address
3181 SW SAM JACKSON PARK RD, DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY - CDRCP, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18292
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
200850137NP
OR
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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