Individual
ROBERT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4305 RIVER RD N, KEIZER, OR 97303-5506
(503) 363-0763
(503) 363-8154
Mailing address
4305 RIVER RD N, KEIZER, OR 97303-5506
(503) 363-0763
(503) 363-8154
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00278
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295456
—
OR
Enumeration date
07/22/2005
Last updated
07/16/2020
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