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Individual

STEPHEN FEKETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
29756 SW TOWN CENTER LOOP W STE H, WILSONVILLE, OR 97070-6482
(503) 682-6035
(503) 582-8485
Mailing address
29756 SW TOWN CENTER LOOP W STE H, WILSONVILLE, OR 97070-6482
(503) 682-6035
(503) 582-8485

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DP00191
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001342
OR
01
308335500
BLUE CROSS BLUE SHIELD
OR
Enumeration date
08/31/2006
Last updated
01/23/2013
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