Whalio Doctors

NPI 1679869119

Stephen Spencer Austad, DO

Practitioner Dermatology Physician Lake Oswego, OR

Practice location

Address
123 C Ave, Lake Oswego, OR 97034-2353
Phone
(541) 316-6575
Fax
(541) 210-8913
Mailing address
1815 E 19th St STE B, The Dalles, OR 97058-3385

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 20A17149 (CA)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 942 (NE)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1679869119
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jun 2011
Record last updated
26 Dec 2023

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.