Stephanie Joy Tillery, - Registered Nurse in Portland, OR

Stephanie Joy Tillery, is a Registered Nurse - Psychiatric/mental Health based in Portland, Oregon. Stephanie Joy Tillery is licensed to practice in Oregon (license number 201815866) and her current practice location is 847 Ne 19th Ave Ste 100, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 238-0769.

NPI number for Stephanie Joy Tillery is 1891275483 and her current mailing address is Po Box 8459, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891275483.

Contact Information

Stephanie Joy Tillery,
847 Ne 19th Ave Ste 100,
Portland, OR 97232-2684
(503) 238-0769
Not Available

Map and Direction




Provider's Profile

Full NameStephanie Joy Tillery
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location847 Ne 19th Ave Ste 100, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891275483
  • Provider Enumeration Date: 08/14/2018
  • Last Update Date: 08/14/2018

Medical Identifiers

Medical identifiers for Stephanie Joy Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891275483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 201815866 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Joy Tillery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Joy Tillery,
Po Box 8459,
Portland, OR 97207-8459

Ph: () -
Stephanie Joy Tillery,
847 Ne 19th Ave Ste 100,
Portland, OR 97232-2684

Ph: (503) 238-0769

Reviews and Comments


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