Organization
RICHARD A. WHIPPLE D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. WHIPPLE D.D.S (OWNER)
(503) 620-6133
Entity
Organization
Contact information
Practice address
11525 SW DURHAM RD, TIGARD, OR 97224-3475
(503) 620-6133
Mailing address
11525 SW DURHAM RD, TIGARD, OR 97224-3475
(503) 620-6133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6023
OR
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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