Individual
STEPHANIE ANN-CORNILS HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
3181 SW SAM JACKSON PARK RD, BTE-119, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25176
OR
208M00000X
Hospitalist Physician
MD25176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233196
—
OR
Enumeration date
07/31/2006
Last updated
09/10/2025
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