Individual
JOSEPH VINCENT CALIFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
2730 SW MOODY AVE, MAIL CODE SD-PERI, PORTLAND, OR 97201-5042
(503) 346-4772
(503) 494-8351
Mailing address
2730 SW MOODY AVE, MAIL CODE SD-PERI, PORTLAND, OR 97201-5042
(503) 346-4772
(503) 494-8351
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D10187
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053533745
NPI
—
Enumeration date
05/03/2007
Last updated
06/08/2015
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