Individual
DR. COREY BURING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5805 SE MILWAUKIE AVE, PORTLAND, OR 97202
(503) 462-1538
Mailing address
7432 SW MILES PL, PORTLAND, OR 97219-3087
(541) 921-0968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10840
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/07/2018
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