Mr. STEPHEN SPENCER AUSTAD DO
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1679869119- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 123 C AVE, LAKE OSWEGO, OR, 970342353
- Phone
- (541) 316-6575
- Fax
- (541) 210-8913
Specialties & Taxonomies
General Practice
License: NE #942
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: CA #20A17149