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Individual

DR. STEPHEN C SWANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD181009
OR
207R00000X
Internal Medicine Physician
ML60362037
WA
390200000X
Student in an Organized Health Care Education/Training Program
ML60362037
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500730611
OR
Enumeration date
04/17/2013
Last updated
10/19/2018
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