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Individual

JAMES EASTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
1935 NE WASCO ST, PORTLAND, OR 97232-1524
(503) 842-8201
(503) 815-1870

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD07474
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197749
OR
Enumeration date
03/09/2007
Last updated
07/09/2007
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