Individual
DR. DOUGLAS KUOHA MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10011 S.E. DIVISION, SUIT 309, PORTLAND, OR 97266-1354
(503) 253-9418
(503) 253-7286
Mailing address
10011 S.E. DIVISION, SUIT 309, PORTLAND, OR 97266-1354
(503) 253-9418
(503) 253-7286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5667
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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