Provider Demographics
NPI:1366319774
Name:RUBESH, STEPHANIE J
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:J
Last Name:RUBESH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 NE PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-5834
Mailing Address - Country:US
Mailing Address - Phone:719-339-7465
Mailing Address - Fax:
Practice Address - Street 1:8403 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-5834
Practice Address - Country:US
Practice Address - Phone:719-339-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-21
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula