BRIAN JACOB STATER

PORTLAND, OR
NPI1063702835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: OR  MD182454)
Enumeration Date2011-04-14
Last Update Date2023-11-22
Business Address
BRIAN JACOB STATER M.D.
9155 SW BARNES RD STE 536
PORTLAND, OR 97225-6785
Phone number: 503-935-8100
Mailing Address
BRIAN JACOB STATER M.D.
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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