person
Stephen Michael Blum, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1861441560

Stephen Michael Blum is a Diagnostic Radiology Physician based in Beachwood, OR and is specialized in Diagnostic Radiology. Stephen Michael Blum practices in Portland, OR and has the professional credentials of MD. The NPI Number for Stephen Michael Blum is 1861441560 and holds a License No. 036077134 (Oregon).

The current practice location address for Stephen Michael Blum is 1001 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-719-6544 and via fax at 866-898-2159. You can also correspond with Stephen Michael Blum through the mailing address at 23625 COMMERCE PARK, BEACHWOOD, OH - 44122 (mailing address contact number: 216-255-5743).

Location: 1001 Nw Lovejoy St, Portland, OR, 44122
person
Provider Profile Details
NPI Number
1861441560
Provider Name
Stephen Michael Blum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 Nw Lovejoy St, Portland, OR, 44122
Phone Number
503-719-6544
Fax Number
866-898-2159
Provider Enumeration Date
05/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808256100 05 ID
8529588 05 WA
1861441560 01 TRICARE NORTH
402417602 05 MD
P00922031 01 OR RAILROAD MCR
1451169 05 LA
235428 05 AZ
036077134 05 IL
2749477 05 OH
00598870 05 NY
402417601 05 MD
institution
Provider Business Practice Location Address Details
Address
1001 Nw Lovejoy St
City
State
Zip
97209-3566
Phone Number
503-719-6544
Fax Number
866-898-2159
person
Provider Business Mailing Address Details
Address
1001 Nw Lovejoy St
City
State
Zip
97209-3566
Phone Number
503-719-6544
Fax Number
866-898-2159
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
0036077134 (Illinois)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
036077134 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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