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Individual

DR. GRIFFIN JAMES JARDINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1015 NW 22ND AVENUE, PORTLAND, OR 97227
(503) 413-4692
Mailing address
2336 S 2100 E, SALT LAKE CITY, UT 84109-1515
(801) 484-0890

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9674506-1205
UT
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
9674506-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/25/2011
Last updated
10/21/2021
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