MEDICARE: MS. STEPHANIE FISCHER WILHITE M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	13036	OR

General Provider Information

NPI Number	:	1821236399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE FISCHER WILHITE M.A.

Provider Business Mailing Address
First Line	:	736 NW TRENTON AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1130
Country	:	US
Telephone Number	:	541-647-0933
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 NW BROADWAY ST
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2674
Country	:	US
Telephone Number	:	541-647-0933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	02/05/2026

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