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NPI Code Detail

MEDICARE: DR. SEAN LINCOLN STEWARD MD

MEDICARE: DR. SEAN LINCOLN STEWARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD19497OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689650624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN LINCOLN STEWARD MD
Provider Business Mailing Address
First Line : 23890 SW BASELINE RD
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-6957
Country : US
Telephone Number : 503-648-9827
Fax Number :
Provider Business Practice Location Address
First Line : 3838 PACIFIC AVE
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-2224
Country : US
Telephone Number : 503-992-0288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SEAN LINCOLN STEWARD MD” Practice Location

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