Wilson, Stephanie Pauline

Wilson, Stephanie Pauline is an individual health care provider with primary practice located at 1755 Coburg Rd Bldg 6B, Eugene OR 97401. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Wilson, Stephanie Pauline can be contacted via phone (541) 683-9357.

Contact Information

Primary practice address
1755 Coburg Rd Bldg 6B Eugene OR 97401
Fax: (541) 683-3273
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X Oregon

Profile Details

NPI number 1881792851
LBN Legal business name Wilson, Stephanie Pauline
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1881792851 NPPES
Oregon MEDICAID 150703

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