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Individual

DR. PAUL JEFFREY AANDERUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9775 SE SUNNYSIDE RD STE 500, CLACKAMAS, OR 97015-5724
(503) 654-7546
(503) 786-3542
Mailing address
9775 SE SUNNYSIDE RD STE 500, CLACKAMAS, OR 97015-5724
(503) 654-7546
(503) 786-3542

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO157838
OR
390200000X
Student in an Organized Health Care Education/Training Program
5101018458
MI

Other

Enumeration date
06/29/2009
Last updated
05/08/2013
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