Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00023765 | WA |
N | 208600000X | Surgeon | MD00023765 | WA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 23765 | WA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD27350 | OR |
NPI | 1154344307 |
---|---|
Provider Name | Steven W Guyton |
First Address | Corvallis, OR 97339-1189 |
Second Address | Corvallis, OR 97330-3738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039625 | LABOR & INDUSTRY (01) | WA |
8602435 | (05) | WA |
C02371 | (02) | |
GU0880 | BLUE SHIELD (01) | WA |
US0861558 | AETNA/USHC SPECIALIST (01) | WA |