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Individual

PAUL JOSEPH DENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 815-1555
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G36296
CA
207L00000X
Anesthesiology Physician
MD24195
OR

Other

Enumeration date
07/22/2006
Last updated
02/13/2020
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