Individual
DR. DONNA DIANNE STOVALL URSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
335 SE 8TH AVE, TUALITY COMMUNITY HOSPITAL PATHOLOGY DEPARTMENT, HILLSBORO, OR 97123
(503) 681-1150
(503) 681-1903
Mailing address
PO BOX 597, YAMHILL, OR 97148-0597
(503) 662-5007
(503) 681-1903
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
030461
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
14495
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD 19683
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133956
—
OR
Enumeration date
03/13/2007
Last updated
04/30/2008
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