Stephanie Iwalani Dolan, PNP | |
1314 Sw Kalama Ave, Redmond, OR 97756-3054 | |
(541) 923-5800 | |
(541) 383-1883 |
Full Name | Stephanie Iwalani Dolan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1314 Sw Kalama Ave, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114361110 | NPI | - | NPPES |
500718029 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 201609258NP-PP (Oregon) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Iwalani Dolan, PNP 600 Sw Columbia St, Suite 6210, Bend, OR 97702-1099 Ph: (541) 383-3005 | Stephanie Iwalani Dolan, PNP 1314 Sw Kalama Ave, Redmond, OR 97756-3054 Ph: (541) 923-5800 |
Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546 | |
Laura Jean Cheshire, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Sw 4th St, Redmond, OR 97756 Phone: 541-508-9523 | |
Justin P Dennery, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 Ne Maple Ave, Redmond, OR 97756 Phone: 602-570-1237 | |
Amy B Mcelroy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Suite 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Randi Louise Duble, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Sw Veterans Way, Redmond, OR 97756 Phone: 541-383-3005 | |
Timothy Michael Baumgarte, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 |