Stephen Jay Datena MD

NPI 1740296243 - Surgery - 208600000X

NPI Details
NPI 1740296243
Gender Male
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-8372
Fax
Business Location
3535 NE 29TH AVE
PORTLAND OR, 97212-1609, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Oregon
License Number MD18504
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According to our database, Stephen Jay Datena MD NPI is 1740296243, taxonomy code is 208600000X and license number is MD18504, license state is located at Oregon. Stephen Jay Datena MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Stephen Jay Datena MD has the Individual type.

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1740296243 NPI number is provided on an as is basis without warranty of any kind. 1740296243 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Jay Datena MD are for informational purposes only.