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Individual

STEVIE VERA PACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201908950RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202109888NP-PP
OR

Other

Enumeration date
10/10/2017
Last updated
09/06/2022
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