Individual
DR. STEPHEN EARL WALDRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3503 N LOMBARD ST, PORTLAND, OR 97217
(503) 283-1198
(503) 283-3262
Mailing address
3503 N LOMBARD ST, PORTLAND, OR 97217
(503) 283-1198
(503) 283-3262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OR 5135
OR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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