Individual
DONALD W SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD, STE 498, PORTLAND, OR 97225-6652
(503) 297-6234
(503) 297-3121
Mailing address
9427 SW BARNES RD, STE 498, PORTLAND, OR 97225-6652
(503) 297-6234
(503) 297-3121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD06275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178277
—
OR
Enumeration date
06/20/2006
Last updated
07/08/2007
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