CAITLIN STAVER
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1417731605- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11675 SW PACIFIC HWY, TIGARD, OR, 972238672
- Phone
- (503) 305-6262
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: KS #14-148494-012
Nurse Practitioner
Primary License: OR #10019683