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Individual

DR. SEAN LINCOLN STEWARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 992-0288
Mailing address
23890 SW BASELINE RD, HILLSBORO, OR 97123-6957
(503) 648-9827

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19497
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085204
OR
Enumeration date
12/21/2005
Last updated
07/08/2007
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