Individual
MR. STEVEN JAMES PAULISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-9334
(503) 362-8016
Mailing address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-9334
(503) 362-8016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17094
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021571
DMAP/OMAP
OR
05
—
021571
—
OR
Enumeration date
07/23/2006
Last updated
07/28/2010
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