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1093986572
STEPHEN FULLER
LAKE OSWEGO, OR
NPI
1093986572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OR MD15877)
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
-- STEPHEN FULLER M.D.
16001 QUARRY RD
LAKE OSWEGO, OR 97035-3359
Phone number: 503-635-1055
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Mailing Address
-- STEPHEN FULLER M.D.
16001 QUARRY RD
LAKE OSWEGO, OR 97035-3359
Phone number: 503-635-1055
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