Individual
ERIC EUGENE SWIRIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36860 INDUSTRIAL WAY, SANDY, OR 97055-7371
(503) 826-0206
(503) 826-0216
Mailing address
36860 INDUSTRIAL WAY, SANDY, OR 97055-7371
(503) 826-0206
(503) 826-0216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18643
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059092
—
OR
Enumeration date
06/10/2005
Last updated
02/16/2011
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