Crook, Stephen R
Crook, Stephen R is an individual health care provider with primary practice located at 10000 Se Main St Suite 316, Portland OR 97216-2448. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Crook, Stephen R can be contacted via phone (503) 256-1575.Contact Information
Primary practice address
10000 Se Main St Suite 316
Portland OR 97216-2448
Phone: (503) 256-1575
Fax: (503) 253-9848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD22498 | Oregon |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD22498 | Oregon |
Profile Details
| NPI number | 1841251832 |
|---|---|
| LBN Legal business name | Crook, Stephen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 16th, 2010 - about 14 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 | 1841251832 | NPPES |
| Oregon | MEDICAID | 288242 |
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