Ellen B Stevenson MD

NPI 1043246838 - Hospitalist - 208M00000X

NPI Details
NPI 1043246838
Gender Female
Enumeration Date 06/23/2006
Last Updated 06/29/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2801 N GANTENBEIN AVE
DEPARTMENT OF PEDIATRICS, LEGACY EMANUEL HOSPITAL
PORTLAND OR, 97227-1623, US
Phone (503) 413-2402
Fax (503) 413-2566
Business Location
2801 N GANTENBEIN AVE
DEPARTMENT OF PEDIATRICS, LEGACY EMANUEL HOSPITAL
PORTLAND OR, 97227, US
Phone (503) 413-2402
Fax (503) 413-2566
Toxanomy
Taxonomy Code 208M00000X
License State Georgia
License Number 046652
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According to our database, Ellen B Stevenson MD NPI is 1043246838, taxonomy code is 208M00000X and license number is 046652, license state is located at Georgia. Ellen B Stevenson MD physically located at 2801 N Gantenbein Ave, Portland OR, 97227-1623. NPI Number Ellen B Stevenson MD has the Individual type.

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1043246838 NPI number is provided on an as is basis without warranty of any kind. 1043246838 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen B Stevenson MD are for informational purposes only.