Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephen Jae Nisewander

Individual provider Occupational Therapy Assistant · NPI 1659867042

Stephen Jae Nisewander is an Occupational Therapy Assistant in Creswell, Oregon. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

735 S 2nd St
Creswell, OR 97426-7507
Phone: (541) 895-3333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1659867042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 9, 2018
Mailing address791 Throne Dr Apt 304, Eugene, OR 97402-7752

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