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Individual

DR. MAURICE ERNEST GIRAUDIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3500 NORTH INTERSTATE AVE, INTERSTATE MEDICAL OFFICE SOUTH, PORTLAND, OR 97227-1196
(503) 331-6154
Mailing address
3500 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE S, PORTLAND, OR 97227-1196
(503) 285-9321

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00018055
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD11540
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2622436
OR
Enumeration date
08/16/2006
Last updated
07/12/2007
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