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Contact Information

STEFANIE DAVIDSON, ARNP
820 N CHELAN AVE
WENATCHEE, WA98801-2028
 Phone: 509-663-8711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STEFANIE DAVIDSON · (Female)

NPI # 1194060251
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/30/2012
Last updated 10/13/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 202000079NP-PP
  • WA License # AP60320123
  • WA Medicaid 1194060251
  • WA Other P01553358 RR PTAN
Hospital affiliation(s)
  • MID-COLUMBIA MEDICAL CENTER - (Acute Care)
    1700 E 19TH STREET
    THE DALLES, OR 97058
  • PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL - (Critical Access)
    810 12TH STREET
    HOOD RIVER, OR 97031
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
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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