Individual
DR. CLINTON CHARLES SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-2770
(503) 873-2735
Mailing address
333 FAIRVIEW ST., SILVERTON, OR 97381
(503) 873-2770
(503) 873-2735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10096
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232728
—
OR
Enumeration date
11/11/2006
Last updated
08/05/2010
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