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Individual

DR. PATRICK JAMES CORNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., MS

Contact information

Practice address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844
Mailing address
2525 NW LOVEJOY ST STE 100, PORTLAND, OR 97210-2861
(503) 222-2844

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9882
OR
1223P0300X
Periodontics
ETN377
TX

Other

Enumeration date
09/28/2012
Last updated
02/22/2019
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