Individual
JOHN A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 STATE STREET, SALEM, OR 97301
(503) 540-6300
(503) 540-6315
Mailing address
PO BOX 1018, SALEM, OR 97301
(503) 540-6300
(503) 540-6315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09780
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183566
—
OR
Enumeration date
07/17/2006
Last updated
04/29/2008
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