Individual
MR. CURT CARLTON STILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001753
IL
363A00000X
Physician Assistant
Primary
PA01431
OR
363AS0400X
Surgical Physician Assistant
PA01431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604007
BSIL
IL
05
—
500606307
—
OR
01
—
970030563
RAILROAD MEDICARE
IL
Enumeration date
11/18/2005
Last updated
02/26/2020
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