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Individual

DR. JAMES H STAGEMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
(503) 873-1669
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
(503) 873-1669

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20608
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150231
OR
Enumeration date
11/23/2005
Last updated
05/03/2013
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