Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefan Christison

Individual provider Internal Medicine Physician · NPI 1639586191

Stefan Christison is an Internal Medicine in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2014
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Practice location Address checks out

1120 NW 20th Ave Ste 110
Portland, OR 97209-1591
Phone: (503) 413-5542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2800 N Vancouver Ave, Portland, OR 97227-1630 — (503) 413-4340

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO192630 (OR)

Record details

NPI number1639586191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020
Mailing address1120 Nw 20th Ave Ste 110, Portland, OR 97209-1591

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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