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Individual

DR. RICHARD JAMES MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8372
Mailing address
3181 SW SAM JACKSON PARK RD, DEPT SURGERY, L611, PORTLAND, OR 97239-3011
(503) 494-2400

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD10659
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068791
OR
Enumeration date
08/01/2006
Last updated
07/13/2007
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