Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD167952 | OR |
N | 207SG0201X | Clinical Genetics (M.D.) | MD60506963 | WA |
N | 207V00000X | Obstetrician & Gynecologist | 242997 | MA |
N | 207V00000X | Obstetrician & Gynecologist | MD167952 | OR |
N | 207V00000X | Obstetrician & Gynecologist | MD60506963 | WA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD167952 | OR |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD60506963 | WA |
NPI | 1801054531 |
---|---|
Provider Name | Dr. Stephanie Esther Dukhovny |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 11/09/2021 |