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Individual

DONALD W STODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19794
OR
207R00000X
Internal Medicine Physician
TL8005
WY
208M00000X
Hospitalist Physician
MD19794
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082805
OR
Enumeration date
11/18/2005
Last updated
05/16/2025
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