Individual
STACIE H OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8800
(541) 222-3154
(541) 222-3359
Mailing address
P.O. BOX 7247, SPRINGFIELD, OR 97475-0011
(541) 686-9551
(541) 687-6716
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD150800
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2007
Last updated
10/12/2012
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