Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 201250110FNP | OR |
NPI | 1003193640 |
---|---|
Provider Name | Andrea Strobel Gepner |
First Address | Saint Helens, OR 97051-1299 |
Second Address | Saint Helens, OR 97051-1299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2011 |
Last Update Date | 06/09/2012 |