Individual
STANLEY A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 NW PETTYGROVE ST, STE 210, PORTLAND, OR 97210-2659
(503) 223-6223
(503) 223-3665
Mailing address
2230 NW PETTYGROVE ST, STE 210, PORTLAND, OR 97210-2659
(503) 223-6223
(503) 223-3665
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD000034615
WA
208800000X
Urology Physician
Primary
MD18423
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8207136
—
WA
Enumeration date
07/09/2005
Last updated
05/03/2012
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