Healthcare Provider Details

I. General information

NPI: 1568745057
Provider Name (Legal Business Name): MICHELLE STEINBECK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 W WASHINGTON ST
BURNS OR
97720-1441
US

IV. Provider business mailing address

67502 SCOTT RD
HINES OR
97738-9440
US

V. Phone/Fax

Practice location:
  • Phone: 541-573-7281
  • Fax:
Mailing address:
  • Phone: 541-573-7280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number200640145RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number200640145RN
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number200640145RN
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number200640145RNO
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number200640145RN
License Number StateOR
# 6
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number200640145RN
License Number StateOR
# 7
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number200640145RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: