Individual
THOMAS S STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
124 NE 181ST AVE, SUITE 103, PORTLAND, OR 97230-6668
(503) 489-1760
Mailing address
124 NE 181ST AVE, SUITE 103, PORTLAND, OR 97230-6668
(503) 489-1760
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
200350081NP
OR
Other
Enumeration date
07/21/2006
Last updated
03/12/2015
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