Individual
DR. STEPHEN ANTHONY FAUSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 273-5306
Mailing address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 273-5306
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20273
OR
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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