Individual
VASILIKI D STOUMBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9135 SW BARNES RD STE 961, PORTLAND, OR 97225
(503) 292-0848
Mailing address
6420 S MACADAM AVE STE 160, PORTLAND, OR 97239-3517
(503) 244-8601
(503) 244-3013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD13994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025572
—
OR
Enumeration date
11/30/2005
Last updated
08/13/2020
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