Individual
DR. RONALD CHARLES SELIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD, PC
Contact information
Practice address
2422 NE FREMONT ST, PORTLAND, OR 97212-2509
(503) 287-1554
(503) 280-8773
Mailing address
2422 NE FREMONT ST, PORTLAND, OR 97212-2509
(503) 287-1554
(503) 280-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6582
OR
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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