Individual
DR. BRIAN MITCHELL WOLFSEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1433 NE 69TH, PORTLAND, OR 97213-5301
(503) 254-2402
(503) 254-2402
Mailing address
1433 NE 69, PORTLAND, OR 97213-5301
(503) 254-2402
(503) 254-2402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OR5393
OR
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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