Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114361110 Individual Practitioner Female Practitioner

Stephanie Iwalani Dolan , PNP

Nurse Practitioner - Pediatrics • Redmond, OR

Professional Overview & Biography Verified Profile Summary

Stephanie Dolan, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Redmond, OR. Practice services are available at 1314 SW KALAMA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1314 Sw Kalama Ave

Redmond, OR 977563054

Telephone 5419235800
Fax 5413831883
Associated Practice Facility / Clinic
🏢 Mosaic Community Health Facility NPI 1114265568

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Redmond, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Redmond, OR (225 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 201609258NP-PP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500718029 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Wendy Dryden , MD

Family Medicine

NPI 1003252354

Doctor of Medicine (M.D.)

Christopher Russell , PA-C

Physician Assistant

NPI 1003864927

Physician Assistant (Certified)

Sierra Hopper , MSN

Counselor - Mental Health

NPI 1013756725

Master of Science in Nursing

Paisley Pijuan , LCSW

Social Worker - Clinical

NPI 1043837578

Licensed Clinical Social Worker

Siena Falzon , QMHA

Counselor - Mental Health

NPI 1043948524
Dr. Haley Maurer , DDS

Dentist - General Practice

NPI 1053186494

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2017

Registered at 1314 SW KALAMA AVE, REDMOND, OR 977563054 (Tel: 5419235800)

📍
Updated Business Mailing Address May 30, 2017

Registered at 600 SW COLUMBIA ST, SUITE 6210, BEND, OR 977021099 (Tel: (541) 383-3005)

👤
Provider Name / Credentials Updated May 30, 2017

Recorded as STEPHANIE DOLAN, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2017

Nurse Practitioner (License #201609258NP-PP in OR)

NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2017

Registered at 1314 SW KALAMA AVE, REDMOND, OR 977563054 (Tel: 5419235800)

📍
Updated Business Mailing Address January 06, 2017

Registered at 600 SW COLUMBIA ST, SUITE 6210, BEND, OR 977021099 (Tel: 5413233181)

👤
Provider Name / Credentials Updated January 06, 2017

Recorded as STEPHANIE DOLAN, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Nurse Practitioner (License #201609258NP-PP in OR)

🟢
Initial NPI Registration & Enumeration April 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114361110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

600 Sw Columbia St, Suite 6210

Bend, OR 977021099

Phone: 5413833005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.