Enloe, Stephen Robert

Enloe, Stephen Robert is an sole proprietor health care provider with primary practice located at 16463 Boones Ferry Rd # 300 , Lake Oswego OR 97035-4259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Enloe, Stephen Robert can be contacted via phone (503) 635-6256.

Contact Information

Primary practice address
16463 Boones Ferry Rd # 300 Lake Oswego OR 97035-4259
Phone: (503) 635-6256
Fax: (503) 636-9604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9364 Oregon

Profile Details

NPI number 1447216189
LBN Legal business name Enloe, Stephen Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Apr 8th, 2012 - about 12 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 1447216189 NPPES
Oregon MEDICAID 58-055988

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