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Individual

DR. JOHN R CHIRGWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1130 SE 122ND AVE, PORTLAND, OR 97233-1112
(503) 252-5515
(503) 255-1625
Mailing address
1130 SE 122ND AVE, PORTLAND, OR 97233-1112
(503) 252-5515
(503) 255-1625

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4607
OR

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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