Stampfer, Carol Rogers

Stampfer, Carol Rogers is an individual health care provider with primary practice located at 4212 Ne Broadway St , Portland OR 97213-1422. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Ambulatory Care, Behavioral Health & Social Service Providers / Mental Health. Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Stampfer, Carol Rogers can be contacted via phone (503) 382-7709.

Contact Information

Primary practice address
4212 Ne Broadway St Portland OR 97213-1422
Phone: (503) 382-7709
Fax: (503) 382-7706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 200550012NP PMHNP PP Oregon
Nursing Service Providers / Ambulatory Care 163WP2201X 83037966FNP-PP Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 200550012NP Oregon

Profile Details

NPI number 1639258734
LBN Legal business name Stampfer, Carol Rogers
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639258734 NPPES
Oregon MEDICAID 5006205797

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