Individual
DR. KAVEENDRA THUSHARA RANASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
790 LAWSON AVE, WOODBURN, OR 97071-2988
(503) 982-1188
Mailing address
4173 NW 128TH AVE, PORTLAND, OR 97229-9313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10319
OR
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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