Individual
EDWARD STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 SW WILSHIRE ST, SUITE 260, PORTLAND, OR 97225-5035
(503) 292-4293
Mailing address
9900 SW WILSHIRE ST, SUITE 260, PORTLAND, OR 97225-5035
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD16699
OR
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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