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1386875805
CHAD JASON FIFE
GRESHAM, OR
NPI
1386875805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9407)
Additional Taxonomies
122300000X Dentist
(Licence: NY 054430-1)
Enumeration Date
2009-07-31
Last Update Date
2023-01-18
Business Address
DR. CHAD JASON FIFE D.D.S
1107 NE BURNSIDE RD
GRESHAM, OR 97030-5710
Phone number: 855-433-6825
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Mailing Address
DR. CHAD JASON FIFE D.D.S
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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