Healthcare Provider Details
I. General information
NPI: 1649512690
Provider Name (Legal Business Name): STEPHEN ORION COURTIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/17/2013
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10690 NE CORNELL RD STE 215
HILLSBORO OR
97124-9224
US
IV. Provider business mailing address
10690 NE CORNELL RD STE 215
HILLSBORO OR
97124-9224
US
V. Phone/Fax
- Phone: 503-216-5240
- Fax: 503-215-8456
- Phone: 503-216-5240
- Fax: 503-215-8456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | D0083516 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: