Stevens, Robert

Stevens, Robert is an individual health care provider with primary practice located at 4305 River Rd N , Keizer OR 97303-5506. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stevens, Robert can be contacted via phone (503) 363-0763.

Contact Information

Primary practice address
4305 River Rd N Keizer OR 97303-5506
Phone: (503) 363-0763
Fax: (503) 363-8154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00278 Oregon

Profile Details

NPI number 1114927910
LBN Legal business name Stevens, Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 16th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114927910 NPPES
Oregon MEDICAID 295456

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