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1780770776
KENNETH CHARLES DIRK
PORTLAND, OR
NPI
1780770776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD20699)
Enumeration Date
2006-10-05
Last Update Date
2023-09-19
Business Address
Dr. KENNETH CHARLES DIRK M.D.
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-297-6334
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Mailing Address
Dr. KENNETH CHARLES DIRK M.D.
9340 SW BARNES RD SUITE 202
PORTLAND, OR 97225-6623
Phone number: 503-297-6334
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