Ahmed, Stephanie Lucille

Ahmed, Stephanie Lucille is an individual health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ahmed, Stephanie Lucille can be contacted via phone (503) 215-6150.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 252205 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD168667 Oregon

Profile Details

NPI number 1447269170
LBN Legal business name Ahmed, Stephanie Lucille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 14th, 2022 - about 2 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 1447269170 NPPES
Oregon MEDICAID 500674724

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