COLUMBIA PARK ORAL SURGERY PC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1639103658- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3549 N LOMBARD, PORTLAND, OR, 972175901
- Phone
- (503) 289-9621
- Fax
- (503) 289-2930
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D6081