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Individual

PHILBERT Y VAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, L611, PORTLAND, OR 97239-3011
(503) 494-6518
(503) 494-6519
Mailing address
3181 SW SAM JACKSON PARK RD, L611, PORTLAND, OR 97239-3011
(503) 494-6518
(503) 494-6519

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD29346
OR
2086S0102X
Surgical Critical Care Physician
MD29346
OR
2086S0127X
Trauma Surgery Physician
Primary
MD29346
OR

Other

Enumeration date
05/23/2007
Last updated
11/22/2013
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