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Individual

ANN ELIZABETH STYRVOKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12636 SE STARK ST, PLAZA 125 BLDG J, PORTLAND, OR 97233
(503) 253-4600
(503) 253-4609
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2694

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12692
MT
2084P0800X
Psychiatry Physician
Primary
MD171845
OR
2084P0800X
Psychiatry Physician
MD60348041
WA

Other

Enumeration date
07/18/2007
Last updated
03/10/2016
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