Individual
DR. JOHN D STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Mailing address
3227 NW SPENCER ST, PORTLAND, OR 97229-8054
(503) 297-4758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00020064
WA
208000000X
Pediatrics Physician
MD20903
OR
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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