Woodyard, Stephen Gordon
Woodyard, Stephen Gordon is an individual health care provider with primary practice located at 1585 Sw Marlow Ave , Portland OR 97225-5176. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Woodyard, Stephen Gordon can be contacted via phone (503) 297-1444.Contact Information
Primary practice address
1585 Sw Marlow Ave
Portland OR 97225-5176
Phone: (503) 297-1444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D4180 | Oregon |
Profile Details
| NPI number | 1013106681 |
|---|---|
| LBN Legal business name | Woodyard, Stephen Gordon |
| Credentials | D.M.D.,M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2007 |
| Last updated | Oct 19th, 2007 - about 17 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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