Individual
DR. BRIAN ALAN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 571-2880
Mailing address
7936 N WAYLAND AVE, PORTLAND, OR 97203-5802
(813) 732-9580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021377
MI
207P00000X
Emergency Medicine Physician
DO186776
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417362104
RESIDENCY
MI
01
—
5101021377
MEDICAL
MI
01
—
5315066924
PHARM
MI
Enumeration date
06/22/2014
Last updated
07/23/2018
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