Organization
JOHN WORTHINGTON DDS, PC
Active
Other names
Northeast Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HARLEY WORTHINGTON DDS (PRESIDENT)
(503) 281-0866
Entity
Organization
Contact information
Practice address
1904 NE 45TH AVE, PORTLAND, OR 97213-1418
(503) 281-0866
(503) 281-0867
Mailing address
1904 NE 45TH AVE, PORTLAND, OR 97213-1418
(503) 281-0866
(503) 281-0867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9182
OR
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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