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Organization

SEAN L STEWARD, MD, PC

Active
Other names
Geneva Health Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MS. THERESE MARIE GORMAN-STEWARD MA (ADMINISTRATOR)
(503) 992-0288
Entity
Organization

Contact information

Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 992-0288
(503) 359-4724
Mailing address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 992-0288
(503) 359-4724

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
260204-95
OR
261QU0200X
Urgent Care Clinic/Center
12202-001
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085204
OR
Enumeration date
03/06/2013
Last updated
03/06/2013
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