Whalio Doctors

NPI 1134236292

Stephen Joseph Ebner, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Clackamas, OR

Practice location

Address
10100 SE Sunnyside Rd, Clackamas, OR 97015-8970
Phone
(503) 786-8435
Mailing address
4207 SE Hull Ave, Milwaukie, OR 97267-6444

Registered specialties (2)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence OR MD13345 (OR)
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence MD00034626 (WA)

Registry record

NPI
1134236292
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.