Individual
DR. JEFFREY M BURSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
12750 SW 68TH AVE, TIGARD, OR 97223-8596
(503) 620-6797
Mailing address
12750 SW 68TH AVE, PORTLAND, OR 97223-8596
(503) 620-6797
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
48706
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D7213
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9280
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A94009
CA
Other
Enumeration date
06/14/2007
Last updated
07/23/2012
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