Individual
DR. DONALD ALWOOD DIBBERN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 1301, PORTLAND, OR 97205-2732
(503) 228-0155
(503) 226-8342
Mailing address
511 SW 10TH AVE, SUITE 1301, PORTLAND, OR 97205-2732
(503) 228-0155
(503) 226-8342
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD22872
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287494
—
OR
Enumeration date
12/04/2006
Last updated
07/09/2007
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