Individual
STEPHANIE KHOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
01810315NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
01810315NP-PP
OR
Other
Enumeration date
11/01/2014
Last updated
04/27/2022
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