# CLINTON C. SANFORD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205019528
- **Authorized official:** MR. CLINTON CHARLES SANFORD M.D., P.C. (OWNER)
- **Authorized official phone:** (503) 873-2770

## Contact information

- **Practice address:** 333 FAIRVIEW ST, SILVERTON, OR 97381-1916
- **Practice address phone:** (503) 873-2770
- **Practice address fax:** (503) 873-2735
- **Mailing address:** 333 FAIRVIEW ST, SILVERTON, OR 97381-1916
- **Mailing address phone:** (503) 873-2770
- **Mailing address fax:** (503) 873-2735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10096 | OR | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 12/10/2007