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Individual

STEPHEN RAY STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 STATE ST, SALEM, OR 97301-4122
(503) 540-6400
(503) 399-7467
Mailing address
PO BOX 311, SALEM, OR 97308-0311
(503) 371-3512
(503) 399-7467

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD10173
OR
207RR0500X
Rheumatology Physician
Primary
MD10173
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168997
OR
Enumeration date
01/19/2007
Last updated
08/12/2008
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