Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
FILLMORE, DAVID JOHN
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
THE OREGON CLINIC PC
507 NE 47TH
PORTLAND OR 97213
Address last updated on 11/9/2001 |
| Phone #: |
(503) 215-2308 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
19724 |
| Dated: |
6/3/1996 |
| Expires: |
6/1/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Yale Univ Sch Of Med, New Haven CT 06510 |
| Graduated: |
6 /
1984 |
| CME Year: |
2004 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
|
|
|
|
|
Return to Search Licensees page
