IndividualActive
Stella Nai Phan
NPI 1235597865 · Licensed Practical Nurse · Salem, OR
Provider details
- NPI number
- 1235597865
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 201406159LPN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3871 Fairview Industrial Dr Se
Suite 150
Salem, OR 97302-1180
Phone: (503) 391-9762
Fax: (503) 315-2019
Approximate (ZIP-level) locationGet directions
Mailing address
3871 Fairview Industrial Dr Se
Salem, OR 97302-1180
Registry dates
- Enumerated
- 2016-02-10
- Last updated
- 2016-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.