Stephenie Jo Murdock

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

527810 Issued in OR

Practice address

2355 Baker St
Baker City, OR 97814-2541

Phone

(541) 239-5274

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1316506397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 BAKER ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142541",
            "telephone_number": "541-239-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 BAKER ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142541",
            "telephone_number": "541-239-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "STEPHENIE",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "527810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527810",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Valley Dental Group P.C.
• Mountain Valley Mental Health Programs, Inc.
• Gaylene Moyers, CCMA
• Karly Munroe, PT, DPT
• Paul L Munson
• Margaret J Murphey, M.A., L.P.C.
• Justin Wayne Murphy, RN
• Chelsea Louise Musselman
• My Hearing Centers, LLC
• Howard W Mylander, DMD

• Adult Care Home Facility in Baker City, OR
• Providers in Baker City, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.