Provider Demographics
NPI:1104968197
Name:STUROS, CURTIS JON (MD)
Entity type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:JON
Last Name:STUROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 503010
Mailing Address - Street 2:
Mailing Address - City:WHITE CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97503-0813
Mailing Address - Country:US
Mailing Address - Phone:541-941-7792
Mailing Address - Fax:503-419-4662
Practice Address - Street 1:11160 HIGHWAY 62
Practice Address - Street 2:SUITE B
Practice Address - City:EAGLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97524-7946
Practice Address - Country:US
Practice Address - Phone:541-826-0899
Practice Address - Fax:541-826-2234
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD184632084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR137933Medicare PIN
G61537Medicare UPIN