Individual
STEPHANIE EGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4971
(503) 494-4264
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4971
(503) 494-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD215136
OR
207RI0200X
Infectious Disease Physician
Primary
MD215136
OR
207RI0200X
Infectious Disease Physician
T7539
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
07/12/2023
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