Individual
DR. PRISCILLA STEWART PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
176957
OR
Other
Enumeration date
02/27/2007
Last updated
10/05/2022
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