Individual
DR. BRIAN WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 418-1669
(503) 494-8486
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 418-1669
(503) 494-8486
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D7108
OR
Other
Enumeration date
08/26/2005
Last updated
07/16/2014
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