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ROBERT W.T. MYALL MD

Individual Provider (NPI-1) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1720093230
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
Phone
(503) 494-8914

Specialties & Taxonomies

Oral & Maxillofacial Surgery Primary License: OR #MD23291
Oral & Maxillofacial Surgery License: OR #DF0014

All Addresses

MAILING

8229 SW 11TH AVE

PORTLAND, OR, 972194311

LOCATION

3181 SW SAM JACKSON PARK RD

PORTLAND, OR, 972393011

(503) 494-8914