Provider Demographics
NPI:1952022758
Name:OSEGUERA NUNEZ, STEPHANIE (DNP, CPNP - AC/PC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:OSEGUERA NUNEZ
Suffix:
Gender:F
Credentials:DNP, CPNP - AC/PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 SE MAIN ST STE 30
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2461
Mailing Address - Country:US
Mailing Address - Phone:503-255-3544
Mailing Address - Fax:
Practice Address - Street 1:10000 SE MAIN ST STE 30
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2461
Practice Address - Country:US
Practice Address - Phone:503-255-3544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202210950RN163W00000X
OR10048193363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse