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STEVEN RYAN DEMEESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4805 NE GLISAN ST, SUITE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
(503) 416-7377
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G82268
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G82268
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD174787
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G822680
BLUE SHIELD PIN
CA
05
00G822680
CA
01
00G822680C29
CAL OPTIMA PIN
CA
01
020039943
MEDICARE RAILROAD
CA
05
2049670
WA
05
500696092
OR
Enumeration date
07/05/2006
Last updated
11/11/2021
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