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NPI Code Detail

MEDICARE: REBECCA K STEPANIAK M.D.

MEDICARE:   REBECCA K STEPANIAK  M.D.
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
1208000000XPediatrics PhysicianMD150831OR

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 : 1891733028
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA K STEPANIAK M.D.
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97232-2023
Country : US
Telephone Number : 503-813-2355
Fax Number : 503-813-3555
Provider Business Practice Location Address
First Line : 500 NE MULTNOMAH ST
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97232-2023
Country : US
Telephone Number : 503-813-2355
Fax Number : 503-813-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/24/2014

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Directions to “ REBECCA K STEPANIAK M.D.” Practice Location

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