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Individual

DR. THEODORE DOUGLAS FLAIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 NW 11TH ST, SUITE E-15, HERMISTON, OR 97838-8602
(541) 567-6434
(541) 567-6019
Mailing address
600 NW 11TH ST, STE E15, HERMISTON, OR 97838-8602
(541) 567-6434
(541) 567-6019

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08491
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234401
OR
Enumeration date
10/19/2006
Last updated
03/06/2017
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