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General NPI Number Information
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NPI Number | 1417698804
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Entity Type | Individual
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Provider Name | KAITLYN STEFFEN MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 6901 SE LAKE RD STE 27
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City | MILWAUKIE
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State | OR
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Zip | 97267-2195
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Country | US
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Telephone | 971-715-0754
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Fax | 971-206-9686
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Provider Business Mailing Address
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Address Line | 5331 S MACADAM AVE STE 258 #1015
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City | PORTLAND
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State | OR
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Zip | 97239
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Country | US
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Telephone | 971-715-0754
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Fax | 971-206-9686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10019648
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License Number State | OR
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