Ebert, Stephen Arnold
Ebert, Stephen Arnold is an individual health care provider with primary practice located at 2701 Nw Vaughn St. Suite 160, Portland OR 97201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ebert, Stephen Arnold can be contacted via phone (503) 499-5200.Contact Information
Primary practice address
2701 Nw Vaughn St. Suite 160
Portland OR 97201
Phone: (503) 499-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD00014422 | Washington |
Profile Details
| NPI number | 1083729214 |
|---|---|
| LBN Legal business name | Ebert, Stephen Arnold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 13th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083729214 | NPPES |
| Washington | MEDICAID | 8186702 |
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