Individual provider · Type 1 NPI

Stephen Jay Datena, MD

Surgery Physician · Portland, OR

NPI number 1740296243 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3535 NE 29th Ave
Portland, OR 97212-1609

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMD18504 (OR)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1740296243

Stephen Jay Datena, MD's National Provider Identifier is 1740296243, issued on Aug 1, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.