Individual
ERIC ALAN DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ERIC DOVER, M.D.
Contact information
Practice address
11705 NE GLISAN ST, PORTLAND, OR 97220-2141
(503) 408-1610
Mailing address
11705 NE GLISAN ST, PORTLAND, OR 97220-2141
(503) 408-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16996
OR
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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