Individual
MR. CORNELIUS DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1414 NW NORTHRUP ST, SUITE 800, PORTLAND, OR 97209-2790
(503) 414-5595
(503) 414-7795
Mailing address
1414 NW NORTHRUP ST, SUITE 800, PORTLAND, OR 97209-2790
(503) 414-5595
(503) 414-7795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12136
NC
Other
Enumeration date
09/06/2006
Last updated
06/26/2013
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