Provider Demographics
NPI:1578508388
Name:MACMURDY, KAREN STEVENS (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:STEVENS
Last Name:MACMURDY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3710 US VETERANS HOSPITAL ROAD
Mailing Address - Street 2:PO BOX 1034
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:502-220-8262
Mailing Address - Fax:503-721-1455
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:P3CARD
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:502-220-8262
Practice Address - Fax:503-721-1455
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2007-07-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD22769207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease