Individual
STEFAN FURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
Mailing address
806 SE 94TH AVE, VANCOUVER, WA 98664-3532
(360) 518-7695
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11895
OR
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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