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Individual

ROBERT E STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 723-6545
(503) 650-6824
Mailing address
PO BOX 2156, CORVALLIS, OR 97339-2156
(541) 758-5047
(541) 758-3713

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17911
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051545
OR
Enumeration date
05/05/2006
Last updated
11/08/2007
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