Individual
DR. VINCENT COLASURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205-2125
(503) 223-7661
Mailing address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205-2125
(503) 223-7661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10138
OR
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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