Individual provider · Type 1 NPI

Cora Jane Bradstreet Stackpole, APRN

Registered Nurse · Gresham, OR

NPI number 1952206658 Active

Practice location

24800 SE Stark St
Gresham, OR 97030-3378

Mailing address

2149 Cascade Ave Ste 106A
Hood River, OR 97031-1087

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X201390774RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1952206658

Cora Jane Bradstreet Stackpole, APRN's National Provider Identifier is 1952206658, issued on Oct 12, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 12, 2026.