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Individual

DR. DAVID KENT BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
875 OAK ST SE STE 5030, SALEM, OR 97301-3991
(503) 814-4480
(503) 814-4482
Mailing address
2101 NE 139TH ST, SUITE 350, VANCOUVER, WA 98686-2309
(360) 256-4060
(360) 256-0103

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00028406
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD162221
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160013267
MEDICARE RR
WA
05
8128258
WA
Enumeration date
01/31/2006
Last updated
12/17/2018
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