Individual
DR. ROSS HAVENS HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8225 N LOMBARD ST STE 103, PORTLAND, OR 97203-3101
(971) 413-0761
Mailing address
8225 N LOMBARD ST STE 103, PORTLAND, OR 97203-3101
(971) 413-0761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10355
OR
Other
Enumeration date
06/10/2013
Last updated
03/17/2018
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