Individual provider Active NPI

Eugene M. Stoelk, MD

  • Reproductive Endocrinology Physician
  • Portland, OR
National Provider Identifier
1487720710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD14983 Issued in OR
Practice address
1750 SW Harbor Way
200
Portland, OR 97201-5128
Phone
(503) 227-7799
Fax
(503) 227-5452
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD14983 OR Primary

Addresses

Primary practice location

1750 SW Harbor Way
200
Portland, OR 97201-5128

Mailing address

19722 Bellevue Way
West Linn, OR 97068-2266
Phone (503) 227-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14983ORMDReproductive Endocrinology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487720710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19722 BELLEVUE WAY",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682266",
            "telephone_number": "503-227-7799",
            "fax_number": "503-227-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW HARBOR WAY",
            "address_2": "200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015128",
            "telephone_number": "503-227-7799",
            "fax_number": "503-227-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOELK",
        "first_name": "EUGENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OR",
            "license": "MD14983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.