Healthcare Provider Details

I. General information

NPI: 1427073832
Provider Name (Legal Business Name): JANET R. STEIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 SW STARK ST FL 5 MULTNOMAH COUNTY HEALTH DEPARTMENT
PORTLAND OR
97204-2347
US

IV. Provider business mailing address

421 SW OAK ST STE. 210
PORTLAND OR
97204-1817
US

V. Phone/Fax

Practice location:
  • Phone: 503-988-5140
  • Fax:
Mailing address:
  • Phone: 503-988-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number080045920N1
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number080045920N7
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: