Individual
JOHN WILLIAM DILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
735 SE MOUNT HOOD HWY, GRESHAM, OR 97080-9156
(503) 492-8000
(503) 492-8444
Mailing address
PO BOX 623, GRESHAM, OR 97030-0149
(503) 492-8000
(503) 492-8444
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-063663
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011465
—
OR
01
—
865273000
BLUE CROSS BLUE SHEILD
OR
Enumeration date
05/04/2006
Last updated
04/28/2008
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