Stephen Jay Datena, MD
Stephen Jay Datena, MD is a Surgery Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
Phone: (503) 494-8372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MD18504 (OR) |
|---|
Record details
| NPI number | 1740296243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 1, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 3535 Ne 29th Ave, Portland, OR 97212-1609 |
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