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Individual

DR. DAWN LYNN NOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9690
(503) 494-1542
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9690
(503) 494-1542

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD27045
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001873678
PA
Enumeration date
02/17/2006
Last updated
02/07/2012
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