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Individual

SHERIDAN THIRINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
Mailing address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO06506
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
235465
OR
Enumeration date
08/03/2006
Last updated
09/14/2010
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