Individual
DR. SERGEY Y KIRPICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3410
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9167
OR
Other
Enumeration date
09/11/2008
Last updated
04/25/2013
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