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Individual

STEPHEN POOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
813 SW HIGHLAND AVE STE 202, REDMOND, OR 97756-3103
(503) 906-7300
(503) 245-8219
Mailing address
PO BOX 230457, PORTLAND, OR 97281-0457
(503) 906-7300
(541) 322-9055

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD23159
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD23159
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287124
OR
Enumeration date
02/09/2007
Last updated
01/23/2024
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