Stiles, Eileen Weldon

Stiles, Eileen Weldon is an individual health care provider with primary practice located at 520 Medical Center Drive, Suite 201 , Medford OR 97504-4434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Stiles, Eileen Weldon can be contacted via phone (541) 789-5710.

Contact Information

Primary practice address
520 Medical Center Drive, Suite 201 Medford OR 97504-4434
Fax: (541) 789-5711
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN07370300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201391437NN-PP Oregon

Profile Details

NPI number 1114997244
LBN Legal business name Stiles, Eileen Weldon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 30th, 2017 - about 9 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 1114997244 NPPES
New Jersey Other 191642 AMERIGROUP
New Jersey Other 2364882 AMERIGROUP

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