Paul Hartin Dibblee CCP

NPI 1083859615 - Perfusionist - 242T00000X

NPI Details
NPI 1083859615
Gender Male
Enumeration Date 12/11/2008
Last Updated 12/11/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
10180 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-8970, US
Phone (503) 571-2150
Fax
Business Location
8746 SW TOMA CT
PORTLAND OR, 97225-6445, US
Phone (503) 297-2771
Fax
Toxanomy
Taxonomy Code 242T00000X
License State
License Number
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According to our database, Mr. Paul Hartin Dibblee CCP NPI is 1083859615, taxonomy code is 242T00000X Paul Hartin Dibblee CCP physically located at 10180 Se Sunnyside Rd, Clackamas OR, 97015-8970. NPI Number Paul Hartin Dibblee CCP has the Individual type.

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1083859615 NPI number is provided on an as is basis without warranty of any kind. 1083859615 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Hartin Dibblee CCP are for informational purposes only.