Stensland, Judith Dolene
Stensland, Judith Dolene is an individual health care provider with primary practice located at 1445 Gateway Blvd , Cottage Grove OR 97424-1224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stensland, Judith Dolene can be contacted via phone (541) 942-7000.Contact Information
Primary practice address
1445 Gateway Blvd
Cottage Grove OR 97424-1224
Phone: (541) 942-7000
Fax: (541) 942-5550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200250162NP | Oregon |
Profile Details
| NPI number | 1225001720 |
|---|---|
| LBN Legal business name | Stensland, Judith Dolene |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Oct 14th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225001720 | NPPES |
| Oregon | MEDICAID | 168395 | |
| Oregon | Other | R103163 |
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