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Contact Information

STACY M FOWLER
524 BERRYDALE AVE
MEDFORD, OR97501-1620
 Phone: 541-862-0603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for STACY M FOWLER · (Female)

NPI Number 1760196968
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2023
Last updated 01/11/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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