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Stephanie Vickers
NPI 1821602673 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4510 Sw Valona Way
Portland, OR 97219 - Phone
- (503) 964-7475
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon