Individual
ROXANNA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CWON
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
200240253
OR
363LF0000X
Family Nurse Practitioner
Primary
201705500NP-PP
OR
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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