Hornbeck, Stasha Anne

Hornbeck, Stasha Anne is an individual health care provider with primary practice located at 9800 Se Sunnyside Rd , Clackamas OR 97015-9750. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hornbeck, Stasha Anne can be contacted via phone (503) 571-3040.

Contact Information

Primary practice address
9800 Se Sunnyside Rd Clackamas OR 97015-9750
Phone: (503) 571-3040
Fax: (503) 571-3095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 860 Oregon

Profile Details

NPI number 1144210949
LBN Legal business name Hornbeck, Stasha Anne
Credentials MS, RD, LD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144210949 NPPES
Oregon MEDICAID 028078
Oregon MEDICAID 8440547

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