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Contact Information

BRIAN A STEVENS, DO
10180 SE SUNNYSIDE RD
CLACKAMAS, OR97015
 Phone: 503-571-2880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRIAN A STEVENS · (Male)

NPI # 1417362104
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/22/2014
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101021377
  • OR License # DO186776
  • MI Other 5101021377 MEDICAL
  • MI Other 5315066924 PHARM
  • MI Other 1417362104 RESIDENCY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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