STACY ANN LIPHAM

MEDFORD, OR
NPI1588245229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  202010833RN)
Enumeration Date2021-04-15
Last Update Date2021-04-15
Business Address
STACY ANN LIPHAM
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
STACY ANN LIPHAM
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763