Individual
MRS. STEPHANIE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4955 PARSONS AVE, EUGENE, OR 97402-2270
(541) 852-7952
Mailing address
4955 PARSONS AVE, EUGENE, OR 97402-2270
(541) 852-7952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
201393526LPN
OR
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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