Individual
DR. ERIC LEE STIVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1249 LLOYD CTR, PORTLAND, OR 97232-1300
(503) 281-4161
Mailing address
2292 SE 38TH AVE, PORTLAND, OR 97214-5906
(503) 281-4161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10645
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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