Individual
RICHARD JOHN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101016458
MI
207X00000X
Orthopaedic Surgery Physician
Primary
DO150596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622779
—
OR
Enumeration date
07/12/2007
Last updated
08/10/2010
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