Stephen Ross Hubbell Jr., RN, LMT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

10017676 Issued in OR

Practice address

15214 SW Millikan Way Apt 726
Beaverton, OR 97003-6616

Phone

(928) 963-1690

NPI assigned

Jan 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1679383574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 SW MILLIKAN WAY APT 726",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970036616",
            "telephone_number": "928-963-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 SW MILLIKAN WAY APT 726",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970036616",
            "telephone_number": "928-963-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "STEPHEN",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10017676",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph George Hromco, PH.D.
• Richard P Hsu, DMD
• Jennifer P Hua, PHARMD
• Amia Huang, PSY.D.
• Chu-Fong Huang, LAC
• Kelsey Elizabeth Huber
• Piper Lynn Huber, D.D.S.
• Jill Hudanish, MA, CCC-SLP
• Anika Hudson
• Athena Mehri Hudson

• Registered Nurse in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.