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Individual

DR. PAUL M CONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD., STE 333, PORTLAND, OR 97225-6630
(503) 216-5102
(503) 216-2485
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
220243
MA
2084P0800X
Psychiatry Physician
A79761
CA
2084P0800X
Psychiatry Physician
Primary
MD27305
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0300040
SPECIALTY LIC
01
220243
LIC #
05
272350
OR
Enumeration date
11/30/2005
Last updated
02/09/2009
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