AUGUST STUPPY

WINSTON, OR
NPI1245935444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  PG225192)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG215530)
Enumeration Date2023-04-05
Last Update Date2026-06-15
Business Address
AUGUST STUPPY DO
671 SW MAIN ST
WINSTON, OR 97496-6571
Phone number: 541-492-4550
Mailing Address
AUGUST STUPPY DO
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-492-4550
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