Individual
MR. PAUL HARTIN DIBBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2150
Mailing address
8746 SW TOMA CT, PORTLAND, OR 97225-6445
(503) 297-2771
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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