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Individual

LINDA CLAUDETTE STORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-0829
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD24157
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181657
OR
Enumeration date
07/31/2006
Last updated
07/16/2007
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