Individual
MARK HARWOOD STURTEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 MAIN ST, DALLAS, OR 97338-3305
(503) 623-0290
(503) 623-7229
Mailing address
312 MAIN ST, DALLAS, OR 97338-3305
(503) 623-0290
(503) 623-7229
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-117140
OR
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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