Individual
STEPHEN M. BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
775 SW 9TH ST, ANNEX A, NEWPORT, OR 97365-4895
(541) 265-5362
(541) 265-9304
Mailing address
775 SW 9TH ST, ANNEX A, NEWPORT, OR 97365-4895
(541) 265-5362
(541) 265-9304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11835
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168740
—
OR
Enumeration date
07/04/2006
Last updated
07/08/2007
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