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Individual

PAUL T ARMERDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1620 E 12TH ST, THE DALLES, OR 97058
(541) 296-9151
(541) 296-9156
Mailing address
PO BOX 73488, PUYALLUP, WA 98373-0488
(855) 722-9700
(541) 296-6431

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD17486
OR
207Q00000X
Family Medicine Physician
Primary
MD17486
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025349002
BSOR
OR
05
034871
OR
05
218112
OR
Enumeration date
06/10/2006
Last updated
11/15/2022
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