Individual
STEPHEN GORDON WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
1585 SW MARLOW AVE, PORTLAND, OR 97225-5176
(503) 297-1444
Mailing address
1585 SW MARLOW AVE, PORTLAND, OR 97225-5176
(503) 297-1444
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D4180
OR
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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