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Individual

DONALD P STUTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 554-1187
(503) 571-2666
Mailing address
1080 SOUTHEAST SUNNYSIDE ROAD, CLACKAMAS, OR 97015-9303
(503) 652-2880
(503) 375-5729

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14178
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164186
OR
Enumeration date
06/09/2006
Last updated
09/02/2008
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