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Individual

DR. STEPHEN ARNOLD EBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 NW VAUGHN ST., SUITE 160, PORTLAND, OR 97201
(503) 499-5200
Mailing address
2701 NW VAUGHN ST., SUITE 160, PORTLAND, OR 97201
(503) 499-5200

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00014422
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8186702
WA
Enumeration date
08/20/2006
Last updated
07/13/2007
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