MEDICARE: MR. STEPHEN J ZEIMANTZ NP

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	363L00000X	Nurse Practitioner	NP-674A	ID
2	363L00000X	Nurse Practitioner	201050227NP	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS10808	OTHER	ID	CONTROLLED SUBSTANCE LIC

General Provider Information

NPI Number	:	1922001478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN J ZEIMANTZ NP

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 N SKIDMORE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97217
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

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

Provider Enumeration Date	:	05/28/2005
Last Update Date	:	03/14/2025

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