Provider Demographics
NPI:1336179589
Name:DOLAN, JAMES PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:DOLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:OHSU, GENERAL SURGERY-L223A
Mailing Address - City:PORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-6900
Mailing Address - Fax:503-494-8884
Practice Address - Street 1:3033 SW BOND
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-6900
Practice Address - Fax:503-494-8884
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD24198208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery