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Individual

DONALD E GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST, SUITE 316, PORTLAND, OR 97216-2448
(503) 256-1575
(503) 253-9848
Mailing address
10000 SE MAIN ST, SUITE 316, PORTLAND, OR 97216-2448
(503) 256-1575
(503) 253-9848

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12289
OR
2086S0129X
Vascular Surgery Physician
MD12289
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066795
OR
Enumeration date
03/31/2006
Last updated
11/16/2010
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