Individual
DR. STEPHEN EDWARD SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Mailing address
10000 SE MAIN ST, SUITE 116, PORTLAND, OR 97216-2448
(503) 251-6292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11657
CA
207Q00000X
Family Medicine Physician
Primary
DO126175
OR
Other
Enumeration date
09/21/2009
Last updated
12/30/2016
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