Basic Information
Provider Information
NPI: 1780115949
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANA
FirstName: STEPHANIE
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: MD MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10123 SE MARKET ST
Address2:  
City: PORTLAND
State: OR
PostalCode: 972162532
CountryCode: US
TelephoneNumber: 5032616985
FaxNumber: 5032616790
Practice Location
Address1: 10123 SE MARKET ST
Address2:  
City: PORTLAND
State: OR
PostalCode: 972162532
CountryCode: US
TelephoneNumber: 5032616985
FaxNumber: 5032616790
Other Information
ProviderEnumerationDate: 03/21/2017
LastUpdateDate: 08/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD199402ORN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD199402ORY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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