Individual
DR. HARRIET RUSSELL STOSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 SW 105TH AVE, SUITE 205, BEAVERTON, OR 97008-8832
(503) 601-3615
(503) 646-0991
Mailing address
6600 SW 105TH AVE, SUITE 205, BEAVERTON, OR 97008-8832
(503) 601-3615
(503) 646-0991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OR MD20612
OR
Other
Enumeration date
10/03/2006
Last updated
08/30/2011
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