=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417943044
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES E STEMPEL M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2005
-----------------------------------------------------
Last Update Date | 06/22/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 NE MULTNOMAH ST SUITE 1600
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97232-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-249-5454
-----------------------------------------------------
Fax | 503-249-5498
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7650 SW BEVELAND RD SUITE 200
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97223-8692
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-249-5454
-----------------------------------------------------
Fax | 503-249-5498
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | MD12202
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------