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1417128984
EASTERN OR DERMATOLOGY
PENDLETON, OR
NPI
1417128984
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Entity Type
Organization
Authorized Contact
JOHN M CARRINGTON
Provider
541-966-8551
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD19132)
Enumeration Date
2008-03-12
Last Update Date
2008-03-12
Business Address
EASTERN OR DERMATOLOGY
602 SE BYERS AVE
PENDLETON, OR 97801-2330
Phone number: 541-966-8551
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Mailing Address
EASTERN OR DERMATOLOGY
PO BOX 40
PENDLETON, OR 97801-0040
Phone number: 541-966-8551
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JOHN M CARRINGTON