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Individual

DR. KEITH HENRY GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33305 NE OLD PARRETT MOUNTAIN RD, NEWBERG, OR 97132-6936
(503) 720-5145
Mailing address
PO BOX 577, NEWBERG, OR 97132-0577
(503) 720-5145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD08769
OR
2084P0800X
Psychiatry Physician
Primary
MD08769
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234294
OR
05
500627014
OR
Enumeration date
08/17/2006
Last updated
08/27/2013
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