Dominique Stewart

NPI 1184939480 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1184939480
Gender Female
Enumeration Date 08/11/2010
Last Updated 08/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
11402 SE BECKMAN AVE.
MILWAUKIE OR, 97222, US
Phone (503) 887-7123
Fax
Business Location
11402 SE BECKMAN AVE.
MILWAUKIE OR, 97222, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Oregon
License Number 201030164LPN
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According to our database, Dominique Stewart NPI is 1184939480, taxonomy code is 164W00000X and license number is 201030164LPN, license state is located at Oregon. Dominique Stewart physically located at 11402 Se Beckman Ave., Milwaukie OR, 97222. NPI Number Dominique Stewart has the Individual type.

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1184939480 NPI number is provided on an as is basis without warranty of any kind. 1184939480 is maintained by the National Plan & Provider Enumeration System. The contents of Dominique Stewart are for informational purposes only.