Individual
DR. STEPHEN GERARD BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 12TH ST, HOOD RIVER, OR 97031
(541) 386-5070
(541) 386-7190
Mailing address
1750 12TH ST, HOOD RIVER, OR 97031
(541) 386-5070
(541) 386-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00823
—
OR
01
—
080028717
RAILROAD MEDICARE
—
01
—
11003
BLUE CROSS BLUE SHIELD
OH
01
—
1251233
UNITED HEALTHCARE
—
01
—
64123
DEPT OF LABOR AND INDUSTR
WA
05
—
8114647
—
WA
01
—
K5099 01
PACIFIC SOURCE
—
Enumeration date
12/07/2005
Last updated
12/23/2011
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