JOHN STEPHEN SANTA

PORTLAND, OR
NPI1962502690
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  10708)
Enumeration Date2006-09-23
Last Update Date2007-07-08
Business Address
-- JOHN STEPHEN SANTA M.D.
745 NW 90TH PL
PORTLAND, OR 97229-6556
Phone number: 503-292-0241
Mailing Address
-- JOHN STEPHEN SANTA M.D.
745 NW 90TH PL
PORTLAND, OR 97229-6556
Phone number: 503-292-0241
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