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Individual

DEBRA CAROLYN DILLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 N GRAHAM ST, SUITE 445, PORTLAND, OR 97227-1654
(503) 284-5220
(503) 284-4971
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD24197
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0198210
LABOR & INDUSTRIES
WA
05
8435570
WA
Enumeration date
02/16/2006
Last updated
07/30/2014
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