Individual
DR. CHAD JASON FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1107 NE BURNSIDE RD, GRESHAM, OR 97030-5710
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054430-1
NY
122300000X
Dentist
Primary
D9407
OR
Other
Enumeration date
07/31/2009
Last updated
01/18/2023
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