Provider Demographics
NPI:1962712927
Name:PERRIN, PAUL JULIAN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JULIAN
Last Name:PERRIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:525 FERRY ST SE
Mailing Address - Street 2:#203
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3773
Mailing Address - Country:US
Mailing Address - Phone:503-363-6103
Mailing Address - Fax:503-363-0833
Practice Address - Street 1:525 FERRY ST SE
Practice Address - Street 2:SUITE 203
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-363-6103
Practice Address - Fax:503-363-0833
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD13809207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine