Healthcare Provider Details

I. General information

NPI: 1891323267
Provider Name (Legal Business Name): BEATA ESTHER STEIN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 W B ST STE O
SPRINGFIELD OR
97477-4593
US

IV. Provider business mailing address

188 W B ST STE O
SPRINGFIELD OR
97477-4593
US

V. Phone/Fax

Practice location:
  • Phone: 458-234-6800
  • Fax: 458-200-4221
Mailing address:
  • Phone: 458-234-6800
  • Fax: 458-200-4221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202107344NP-PP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF001991
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number202107344
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: