Individual
DR. STEPHEN A HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
624 S J ST, LAKEVIEW, OR 97630-1680
(541) 947-3366
(541) 947-4404
Mailing address
624 S J ST, LAKEVIEW, OR 97630-1680
(541) 947-3366
(541) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288243
—
OR
Enumeration date
12/23/2005
Last updated
12/15/2020
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