Individual
KATHY L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-8113
Mailing address
14828 SE 117TH AVE, CLACKAMAS, OR 97015-9243
(503) 698-4814
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17355
OR
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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