Individual
STEPHEN LAWRENCE ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3410
Mailing address
2706 NE 131ST AVE, PORTLAND, OR 97230-1720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10858
OR
Other
Enumeration date
07/16/2018
Last updated
08/28/2020
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