Individual
MEGAN ELAINE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3773 PINETOP DR, MEDFORD, OR 97504-9638
(541) 646-8420
Mailing address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA201941
OR
Other
Enumeration date
10/08/2020
Last updated
02/04/2021
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