IndividualActive
John Chirgwin, DMD
NPI 1225192065 · Periodontics · Portland, OR
Provider details
- NPI number
- 1225192065
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 4607 (OR)
Practice location
1130 Se 122nd Ave
Portland, OR 97233-1112
Phone: (503) 252-5515
Fax: (503) 255-1625
Mailing address
1130 Se 122nd Ave
Portland, OR 97233-1112
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.