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PROVIDENCE HEALTH & SERVICES - OREGON

Oral & Maxillofacial Surgery (D.M.D.)

NPI: 1407109937Organization

Specialties, Licenses & Credentials

Oral & Maxillofacial Surgery

Code: 204E00000X

Clinic/Center

Code: 261Q00000X

Contact & Hours

Via practice · 2 locations total

Address
4805 NE GLISAN ST, SUITE 6N50
PORTLAND, OR 97213

Quick Facts

NPI
1407109937
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
2

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