Stutzman, Donald P

Stutzman, Donald P is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stutzman, Donald P can be contacted via phone (503) 554-1187.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Fax: (503) 571-2666
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD14178 Oregon

Profile Details

NPI number 1194766154
LBN Legal business name Stutzman, Donald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194766154 NPPES
Oregon MEDICAID 164186

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