Individual
ELIZABETH ANNE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(503) 215-6601
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD19993
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287584
—
OR
Enumeration date
08/01/2006
Last updated
10/11/2023
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