Individual
DR. ELLIOTT HAYDEN CHINN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14607 SE 202ND AVE, DAMASCUS, OR 97015-8718
(503) 658-4020
(503) 658-6251
Mailing address
14607 SE 202ND AVE, DAMASCUS, OR 97015-8718
(503) 658-4020
(503) 658-6251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4606
OR
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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