Individual
PHILIP JARVIS DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205
(503) 221-0161
(503) 274-1697
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205
(503) 221-0161
(503) 274-1697
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD26100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028094
—
OR
Enumeration date
09/28/2006
Last updated
08/02/2012
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