STEPHEN FULLER

LAKE OSWEGO, OR
NPI1093986572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: OR  MD15877)
Enumeration Date2008-03-12
Last Update Date2008-03-12
Business Address
-- STEPHEN FULLER M.D.
16001 QUARRY RD
LAKE OSWEGO, OR 97035-3359
Phone number: 503-635-1055
Mailing Address
-- STEPHEN FULLER M.D.
16001 QUARRY RD
LAKE OSWEGO, OR 97035-3359
Phone number: 503-635-1055