STEVEN LATULIPPE MD PC
Medical Practice at Clay St, Dallas, OR

License number
Oregon MD22341
Category
Medical Practice
Type
Legal Medicine
Owner
Name: DR. STEVEN LATULIPPE .M.D.
Title: PYSICAN
Phone: (503) 623-5430
Address
Address
531 SE Clay St, Dallas, OR 97338
National Provider ID: 1306024039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEVEN LATULIPPE, M.D., PC

Dallas, OR  -  Monmouth, OR

Status:
Inactive
Industry:
Medical Doctor's Office, Family Doctor
Doing business as:
Steven A Latulippe MD<br>Steven Latulippe MD
Registration:
Aug 2, 2005
Phone:
(503) 623-5430 (Phone)
Addresses:
531 SE Clay St, Dallas, OR 97338 (Physical)
PO Box 368, Monmouth, OR 97361 (Mailing)
PO Box 787, Dallas, OR 97338
State ID:
30334197
Business type:
Domestic Professional Corporation
Managers:
Steven Latulippe Medical Doctor, Principal, inactive,Wilma J. Obando Medical Doctor, Pa, Physician Assistant, inactive,Teresa Latulippe Manager, inactive
Agent:
John Hasbrook, Pc,112 N Atwater, Monmouth, OR 97361 (Physical)

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