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Individual

JOSEPH PAUL STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9300 SE 91ST AVE, SUITE 400, PORTLAND, OR 97086-3749
(503) 775-6500
(503) 775-2275
Mailing address
9300 SE 91ST AVE, SUITE 400, PORTLAND, OR 97086-3749
(503) 775-6500
(503) 775-2275

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD13551
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13551
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050004482
RR MEDICARE
OR
05
1001692
WA
05
118463
OR
Enumeration date
06/23/2006
Last updated
12/12/2012
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