Provider Demographics
NPI:1235178286
Name:URMAN, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:URMAN
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 66500
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97290-6500
Mailing Address - Country:US
Mailing Address - Phone:503-657-8663
Mailing Address - Fax:503-723-3180
Practice Address - Street 1:1015 OCEAN BEACH HWY
Practice Address - Street 2:#125
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4098
Practice Address - Country:US
Practice Address - Phone:360-703-0703
Practice Address - Fax:360-703-0704
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000372262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1235178286OtherNPI NUMBER
WA8134645Medicaid
OR008925Medicaid
1235178286OtherNPI NUMBER
ORR103014Medicare PIN
WAGAB26987Medicare PIN
WA8134645Medicaid
WAGAB201518Medicare PIN
ORR105089Medicare PIN