Harry Otis Stevens ANP

NPI 1376554048 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1376554048
Gender Male
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3710 SW US VETERANS HOSPITAL RD
PORTLAND OR, 97239-2964, US
Phone (503) 220-8262
Fax
Business Location
3710 SW US VETERANS HOSPITAL RD
PORTLAND OR, 97239-2964, US
Phone (503) 220-8262
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Oregon
License Number 079043765N3 ANP-PP
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According to our database, Mr. Harry Otis Stevens ANP NPI is 1376554048, taxonomy code is 363LA2200X and license number is 079043765N3 ANP-PP, license state is located at Oregon. Harry Otis Stevens ANP physically located at 3710 Sw Us Veterans Hospital Rd, Portland OR, 97239-2964. NPI Number Harry Otis Stevens ANP has the Individual type.

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1376554048 NPI number is provided on an as is basis without warranty of any kind. 1376554048 is maintained by the National Plan & Provider Enumeration System. The contents of Harry Otis Stevens ANP are for informational purposes only.