Individual
CHRISTOPHER DIRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Mailing address
5331 SW MACADAM AVE STE 258-418, PORTLAND, OR 97239-6104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
09/25/2017
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