Provider Demographics
NPI:1306211701
Name:STEADMAN, CINDY
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:HARTUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4808 LIBERTY RD S APT 10
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-2432
Mailing Address - Country:US
Mailing Address - Phone:503-990-5942
Mailing Address - Fax:503-585-0491
Practice Address - Street 1:4808 LIBERTY RD S APT 10
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-2432
Practice Address - Country:US
Practice Address - Phone:503-990-5942
Practice Address - Fax:503-585-0491
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-10
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist