Individual
MR. PATRICK RAY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
762 NIAGARA AVE, ASTORIA, OR 97103-5119
(503) 325-7413
(503) 325-5873
Mailing address
762 NIAGARA AVE, ASTORIA, OR 97103-5119
(503) 325-7413
(503) 325-5873
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7511
OR
Other
Enumeration date
07/28/2007
Last updated
07/28/2007
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