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Individual

ROBERT B MCLAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7593
(503) 494-4324
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7593
(503) 494-4324

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036098592
IL
2086S0129X
Vascular Surgery Physician
Primary
MD163559
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036098592
IL
Enumeration date
09/20/2005
Last updated
05/15/2019
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