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Individual

DR. STEVEN A LATULIPPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
531 SE CLAY ST, DALLAS, OR 97338-2865
(503) 623-5430
(503) 831-1253
Mailing address
531 SE CLAY ST, DALLAS, OR 97338-2865
(503) 623-5430
(503) 831-1253

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22341
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288526
OR
Enumeration date
08/30/2006
Last updated
02/21/2008
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