Individual
DR. DAVID DEAN MAGILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD STE 394, PORTLAND, OR 97225-6616
(503) 297-6511
(503) 297-5231
Mailing address
9427 SW BARNES ROAD, SUITE 394, PORTLAND, OR 97225-3371
(503) 297-6511
(503) 297-5231
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD19765
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079350
—
OR
Enumeration date
12/22/2006
Last updated
05/02/2008
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