| Chirgwin & Herriges, Llc | |
|
1130 Se 122nd Ave Portland OR 97233-1112 | |
| (503) 252-5515 | |
| (503) 255-1625 |
| Full Name | Chirgwin & Herriges, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1130 Se 122nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Brock D Herriges (PARTNER) |
| Authorized Official Contact | 5032525515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chirgwin & Herriges, Llc 1130 Se 122nd Ave Portland OR 97233-1112 Ph: (503) 252-5515 | Chirgwin & Herriges, Llc 1130 Se 122nd Ave Portland OR 97233-1112 Ph: (503) 252-5515 |
| NPI Number | 1467516211 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467516211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D8371 (Oregon) | Primary |
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