Provider Demographics
NPI:1386739753
Name:STOSUR, HARRIET RUSSELL (MD)
Entity type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:RUSSELL
Last Name:STOSUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6600 SW 105TH AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-8832
Mailing Address - Country:US
Mailing Address - Phone:503-601-3615
Mailing Address - Fax:503-646-0991
Practice Address - Street 1:6600 SW 105TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-8832
Practice Address - Country:US
Practice Address - Phone:503-601-3615
Practice Address - Fax:503-646-0991
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OROR MD20612207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology