Individual
DR. ERVIN GENE STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7032 SW 3RD AVE, PORTLAND, OR 97219-2214
(503) 939-7351
(503) 722-4450
Mailing address
7032 SW 3RD AVE, PORTLAND, OR 97219-2214
(503) 939-7351
(503) 722-4450
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7745
OR
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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