Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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ERIC J DIERKS MD, DMD

Surgery Yellow Pages

Portland, Oregon

Provider NPI: 1265432025

Provider Information:
 ERIC J DIERKS MD, DMD


Practice Location:
1849 NW KEARNEY ST  PORTLAND, OR 97209 US
Tel: 503-224-1371  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N204E00000XPhysicians
Oral & Maxillofacial Surgery
ORD6708
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
ORMD16391

Other Provider Identifiers:

IssuerNumberStateType
008560OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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