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1033965744
STEFANIE MARIE DIEFFENBACH
PORTLAND, OR
NPI
1033965744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: OR 10025329)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
STEFANIE MARIE DIEFFENBACH WHNP-BC
545 NE 47TH AVE STE 102
PORTLAND, OR 97213-2237
Phone number: 503-215-6262
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Mailing Address
STEFANIE MARIE DIEFFENBACH WHNP-BC
545 NE 47TH AVE STE 102
PORTLAND, OR 97213-2237
Phone number: 503-215-6565
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