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Individual

DR. RICHARD A BURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, 9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015
(503) 652-2880
Mailing address
KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, 9900 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015
(503) 652-2880

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OR MD23337
OR
208800000X
Urology Physician
WA MD00040480
WA

Other

Enumeration date
09/17/2006
Last updated
07/10/2007
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