Individual
STEPHEN ESTABROOKE WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(801) 953-5170
Mailing address
633 SE WALNUT ST, HILLSBORO, OR 97123-4529
(801) 953-5170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61000513
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2019
Last updated
11/20/2019
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