1073238945 NPI number — EMMA STERN-FLEEGE MA, PCA R7893

Table of content: EMMA STERN-FLEEGE MA, PCA R7893 (NPI 1073238945)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073238945 NPI number — EMMA STERN-FLEEGE MA, PCA R7893

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERN-FLEEGE
Provider First Name:
EMMA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, PCA R7893
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073238945
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 220355
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILWAUKIE
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97269-0355
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-730-1789
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 SE ALDERCREST RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILWAUKIE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97222-6160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-730-1789
Provider Business Practice Location Address Fax Number:
833-523-2398
Provider Enumeration Date:
10/04/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  R7893 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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