Individual
STEPHEN R CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
(503) 253-9848
Mailing address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
(503) 253-9848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22498
OR
2086S0129X
Vascular Surgery Physician
MD22498
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288242
—
OR
Enumeration date
03/29/2006
Last updated
02/14/2025
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