Individual
DR. KEVAN CHRISTOPHER STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1128 NE 2ND ST STE 103, CORVALLIS, OR 97330-6230
(203) 507-0159
Mailing address
1128 NE 2ND ST STE 103, CORVALLIS, OR 97330-6230
(203) 507-0159
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD162067
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661662
—
OR
Enumeration date
04/09/2008
Last updated
12/09/2023
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