Individual
CHRISTOPHER VAN DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
1107 BAIN ST SE, ALBANY, OR 97322-5248
(541) 926-6667
(541) 926-1039
Mailing address
1107 BAIN ST SE, ALBANY, OR 97322-5248
(541) 926-6667
(541) 926-1039
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-516828
OR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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