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Individual

EDWARD PAUL KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4500
Mailing address
7355 SW GABLE PARK RD, PORTLAND, OR 97225-2629

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD10221
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101816
OR
Enumeration date
01/23/2007
Last updated
07/08/2007
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