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Individual

DR. DANA WILLIAM SIBILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
(503) 280-9798
Mailing address
1934 NE BROADWAY ST, PORTLAND, OR 97232-1502
(503) 280-9759
(503) 280-9798

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
27-2971
OR

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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