Organization
STEPHEN MACBAIN BURNS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MACBAIN BURNS M.D. (OWNER/PHYSICIAN)
(541) 265-5362
Entity
Organization
Contact information
Practice address
775 SW 9TH STREET,, ANNEX A, NEWPORT, OR 97365
(541) 265-5362
(541) 265-9304
Mailing address
775 SW 9TH STREET,, ANNEX A, NEWPORT, OR 97365
(541) 265-5362
(541) 265-9304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M6277
ID
208000000X
Pediatrics Physician
MD00030487
WA
208000000X
Pediatrics Physician
Primary
MD11835
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168740
—
OR
Enumeration date
05/21/2009
Last updated
05/21/2009
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