Most Relevant Information
Provider Data
| NPI Number: | 1003500661 |
| Provider Name: | CHERYL STOMBERG FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10006489 |
Most Important Dates
| Enumeration Date: | 06/06/2023 |
| Last Updated: | 10/12/2023 |
Provider Practice Location
3303 S BOND AVE
PORTLAND
OR
972394501
Practice Location Phone/Fax
| Phone: | 5034946594 |
| Fax: | 5034945385 |
Provider Mailing Location
1400 SW 5TH AVE STE 500
PORTLAND
OR
972015537
Provider Mailing Phone/Fax
| Phone: | 8666176855 |
| Fax: | 5033468015 |