Provider Demographics
NPI:1659519676
Name:MATTHEW, STEPHANIE JOY (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:JOY
Last Name:MATTHEW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:JOY
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:414 N. MERIDIAN STREET #6128
Mailing Address - Street 2:GEORGE FOX UNIVERSITY HEALTH CENTER
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132
Mailing Address - Country:US
Mailing Address - Phone:503-554-2340
Mailing Address - Fax:503-554-2343
Practice Address - Street 1:414 N. MERIDIAN STREET #6128
Practice Address - Street 2:GEORGE FOX UNIVERSITY HEALTH CENTER
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132
Practice Address - Country:US
Practice Address - Phone:503-554-2340
Practice Address - Fax:503-554-2343
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60069343363LF0000X
OR201250150NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily