STEPHEN JAY DATENA

PORTLAND, OR
NPI1740296243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OR  MD18504)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
STEPHEN JAY DATENA MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8372
Mailing Address
STEPHEN JAY DATENA MD
3535 NE 29TH AVE
PORTLAND, OR 97212-1609
Phone number:
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