Individual
ANTHONY BAGOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13255 SE STARK ST., PORTLAND, OR 97233-1809
(503) 255-1901
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 255-1901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9264
OR
Other
Enumeration date
08/17/2009
Last updated
05/26/2015
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