Individual
DR. STANLEY BRUCE TEPLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9975 SW NIMBUS AVE, BEAVERTON, OR 97008-7150
(503) 520-0800
(503) 520-0403
Mailing address
9975 SW NIMBUS AVE, BEAVERTON, OR 97008-7150
(503) 520-0800
(503) 520-0403
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 19317
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128426
—
OR
Enumeration date
07/11/2005
Last updated
02/13/2014
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