Individual
SUZANNE WALLIS STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, PCCN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
71A CENTRE ST, MOUNTAIN VIEW, CA 94041-2392
(408) 568-2218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201703322RN
OR
163W00000X
Registered Nurse
95196038
CA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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