TRAVIS JAMES WIDMAN

CLACKAMAS, OR
NPI1700928397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: OR  LL16231)
Enumeration Date2007-02-12
Last Update Date2010-12-23
Business Address
-- TRAVIS JAMES WIDMAN M.D.
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-571-3332
Mailing Address
-- TRAVIS JAMES WIDMAN M.D.
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-571-3332
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