Individual
DR. STEPHEN JOEL HALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
534 PLEASANT VIEW WAY NW STE 100, ALBANY, OR 97321-1789
(541) 812-5656
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A15969
CA
207Q00000X
Family Medicine Physician
DO154384
OR
207Q00000X
Family Medicine Physician
Primary
DO158384
OR
Other
Enumeration date
06/27/2011
Last updated
09/10/2021
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