Individual
DR. PAUL R STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 9TH ST, FLORENCE, OR 97439-9470
(541) 997-2820
(541) 997-7197
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22678
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288268
—
OR
01
—
MD22678
OREGON STATE LICENSE
OR
Enumeration date
06/29/2006
Last updated
11/29/2012
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