STEPHANIE O'CONNOR (NPI# 1720060353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720060353 |
| Entity Type | Individual |
| Full Name | STEPHANIE O'CONNOR |
| Other Name | STEPHANIE MATUS |
| Credential | FNP |
| Practice Address |
18750 Se Stark St Portland OR 97233-5330 |
| Mailing Address |
1229 Eugene St Hood River OR 97031-1435 |
| Practice Telephone | 5412967677 |
| Mailing Telephone | 5414000367 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 200450105NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA L&I | 0223414 | 01 | |
| WA CRIME VICTIMS | 8945123 | 01 | |
| REGENCE BLUE CROSS | 858543038 | 01 | |
| WA | 9643768 | 05 | |
| OR | 022961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134546369 | Stephanie Marie O'connor | Speech-Language Pathologist | 600 E. Broadway Street, Harrison Elementary, Harrison, OH 45030 | 2014-03-26 |
| 1629683958 | Stephanie O'connor | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-14 |
| 1306483995 | Stephanie M O'connor | Dietitian, Registered | 4735 Ogletown Stanton Rd Ste 3201, Newark, DE 19713-2094 | 2019-12-03 |
| 1548723000 | Stephanie Nichole O'connor | Nurse Practitioner | 335 S Ocotillo Ave, Benson, AZ 85602-6406 | 2019-04-11 |
| 1275960346 | Stephanie O'connor | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-10-03 |
| 1851409502 | Stephanie Anne O'connor | Physical Therapist | 510 Butler Ave, Pmrs, Martinsburg, WV 25401-9990 | 2006-08-25 |
| Street Address |
18750 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245672286 | John Michael Ellison | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2013-07-18 |
| 1043522949 | Christopher M. Love | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2010-07-08 |
| 1073577276 | Luther W Johansen | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-14 |
| 1487618781 | John S Loomis IIi | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-13 |
| 1821051509 | Jean-elie Moreau | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.