Provider Demographics
NPI:1366105363
Name:STEILING, EVANGELINA ROSILEE
Entity type:Individual
Prefix:
First Name:EVANGELINA
Middle Name:ROSILEE
Last Name:STEILING
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 1:122 NE CRANE LN
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-9468
Mailing Address - Country:US
Mailing Address - Phone:541-801-6448
Mailing Address - Fax:
Practice Address - Street 1:122 NE CRANE LN
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-9468
Practice Address - Country:US
Practice Address - Phone:541-801-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000105459374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula