Individual
DR. DAVID JACOB RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2323 NW WESTOVER RD, PORTLAND, OR 97210-3524
(503) 893-2889
Mailing address
2323 NW WESTOVER RD, PORTLAND, OR 97210-3524
(503) 893-2889
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9732
OR
1223P0221X
Pediatric Dentistry
DE 60257230
WA
Other
Enumeration date
04/19/2010
Last updated
10/19/2016
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