Individual
CLIFFORD WAYNE SELLS
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) 494-3236
Mailing address
707 SW GAINES RD, CDRCP, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD19784
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081872
—
OR
Enumeration date
08/01/2006
Last updated
07/16/2007
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