Individual
CRAIG L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220-9436
(503) 215-4250
(503) 215-4255
Mailing address
PO BOX 4949, PORTLAND, OR 97208-4949
(503) 215-6446
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18564
OR
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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