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Individual

STEPHEN SMITH BABSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 386-5424
Mailing address
12055 SW BREYMAN AVE, PORTLAND, OR 97219-8414

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD212713
OR

Other

Enumeration date
10/23/2017
Last updated
10/24/2022
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