Provider Demographics
NPI:1043797780
Name:STRATTON, JOSEPHINE C (RN)
Entity Type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:C
Last Name:STRATTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5052 FOOTHILLS DR UNIT H
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-3225
Mailing Address - Country:US
Mailing Address - Phone:484-995-4641
Mailing Address - Fax:
Practice Address - Street 1:4115 SE HAGER LN
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-2925
Practice Address - Country:US
Practice Address - Phone:716-491-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201805533RN163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health