Blum, Stephen Michael

Blum, Stephen Michael is an individual health care provider with primary practice located at 1001 Nw Lovejoy St Unit 706, Portland OR 97209-3566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Blum, Stephen Michael can be contacted via phone (503) 719-6544.

Contact Information

Primary practice address
1001 Nw Lovejoy St Unit 706 Portland OR 97209-3566
Phone: (503) 719-6544
Fax: (866) 898-2159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036077134 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0036077134 Illinois

Profile Details

NPI number 1861441560
LBN Legal business name Blum, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 7th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861441560 NPPES
Idaho MEDICAID 808256100
Idaho MEDICAID 8529588
Idaho Other 1861441560
Idaho MEDICAID 402417602
Idaho Other P00922031
Idaho MEDICAID 1451169
Idaho MEDICAID 235428
Idaho MEDICAID 036077134
Idaho MEDICAID 2749477
Idaho MEDICAID 00598870
Idaho MEDICAID 402417601

Popular Providers