Individual
JULIO J BIRD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3517 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3768
(541) 768-4280
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51346-20
WI
208600000X
Surgery Physician
Primary
MD209341
OR
Other
Enumeration date
05/22/2008
Last updated
06/20/2022
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