Richard A. Whipple D.d.s

NPI 1154680122 - Dentist - 1223G0001X

NPI Details
NPI 1154680122
Enumeration Date 05/11/2012
Last Updated 05/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD A. RICHARD
Position OWNER
Phone (503) 620-6133
Fax
Practice Location
11525 SW DURHAM RD
TIGARD OR, 97224-3475, US
Phone (503) 620-6133
Fax
Business Location
11525 SW DURHAM RD
TIGARD OR, 97224-3475, US
Phone (503) 620-6133
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 6023
Remove 1154680122 NPI Number
 

According to our database, Richard A. Whipple D.d.s NPI is 1154680122, taxonomy code is 1223G0001X and license number is 6023, license state is located at Oregon. Richard A. Whipple D.d.s physically located at 11525 Sw Durham Rd, Tigard OR, 97224-3475. NPI Number 1033115704 has the healthcare provider type.

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1154680122 NPI number is provided on an as is basis without warranty of any kind. 1154680122 is maintained by the National Plan & Provider Enumeration System. The contents of Richard A. Whipple D.d.s are for informational purposes only.