Deidre L Burton MD

NPI 1033111422 - Pediatrics - 208000000X

NPI Details
NPI 1033111422
Gender Female
Enumeration Date 08/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1130 NW 22ND AVE
SUITE 320
PORTLAND OR, 97210-2900, US
Phone (503) 295-2546
Fax (503) 790-1248
Business Location
1960 NW 167TH PL
SUITE 200
BEAVERTON OR, 97006-4803, US
Phone (503) 531-2594
Fax (503) 466-1399
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD17996
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According to our database, Deidre L Burton MD NPI is 1033111422, taxonomy code is 208000000X and license number is MD17996, license state is located at Oregon. Deidre L Burton MD physically located at 1130 Nw 22nd Ave, Portland OR, 97210-2900. NPI Number Deidre L Burton MD has the Individual type.

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1033111422 NPI number is provided on an as is basis without warranty of any kind. 1033111422 is maintained by the National Plan & Provider Enumeration System. The contents of Deidre L Burton MD are for informational purposes only.