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STANLEY J CYRAN M.D.

Physicians Dermatology

Provider NPI: 1083653653

Provider Information:
 STANLEY J CYRAN M.D.
Gender: M
Not Sole Proprietor

Practice Location:
5330 NE GLISAN ST. SUITE 200 PORTLAND, OR 97213-3069 US
Tel: 503-215-9080  Fax: 503-215-9099

Business Mailing Address:
PO BOX 3158  PORTLAND, OR 97208-3159 US
Tel: 503-215-6494  Fax: 503-215-6644

NPI Information:
NPI: 1083653653
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XPhysicians
Dermatology
ORMD126216
N207N00000XPhysicians
Dermatology
WAMD00039772

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICAREP00795105OR01
500609570OR05
8277832WA05



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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