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Individual

DR. ROBERT D DYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
177 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 254-1399
(503) 256-1340
Mailing address
177 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 254-1399
(503) 256-1340

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD11274
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236893
OR
Enumeration date
07/26/2006
Last updated
07/08/2007
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