NPI 1083859615
Paul Hartin Dibblee, CCP
Practice location
- Address
- 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
- Phone
- (503) 571-2150
- Mailing address
- 8746 SW Toma CT, Portland, OR 97225-6445
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1083859615
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Dec 2008
- Record last updated
- 11 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.