Individual
DR. KEVIN MICHAEL CHATHAM-STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 SW GAINES ST, MAIL: CDRC-P, PORTLAND, OR 97239-2901
(503) 418-5170
Mailing address
707 SW GAINES ST, MAIL: CDRC-P, PORTLAND, OR 97239-2901
(503) 418-5170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL15217
OR
Other
Enumeration date
07/26/2007
Last updated
04/02/2008
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