Avera, Stephen A

Avera, Stephen A is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Avera, Stephen A can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0000059602 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD214746 Oregon

Profile Details

NPI number 1174986293
LBN Legal business name Avera, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Oct 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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