Myers, Stanley A

Myers, Stanley A is an individual health care provider with primary practice located at 2230 Nw Pettygrove St Ste 210, Portland OR 97210-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Myers, Stanley A can be contacted via phone (503) 223-6223.

Contact Information

Primary practice address
2230 Nw Pettygrove St Ste 210 Portland OR 97210-2659
Phone: (503) 223-6223
Fax: (503) 223-3665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD000034615 Washington
Allopathic & Osteopathic Physicians / Urology 208800000X MD18423 Oregon

Profile Details

NPI number 1740288158
LBN Legal business name Myers, Stanley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated May 3rd, 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 1740288158 NPPES
Washington MEDICAID 8207136

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