Individual
TRAVIS L RICE-STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-2313
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-2313
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.140503
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L-247529
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD196662
OR
Other
Enumeration date
06/15/2011
Last updated
03/03/2020
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