Search › Oregon › 207L00000X
Derick Du Vivier, MD
NPI 1235167024 · on the registry since 2006
Practice
- Address
- 3181 Sw Jackson Park Rd.
Portland, OR 97239 - Phone
- (503) 494-7641
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon