Individual
DR. TIMOTHY PAUL BLETSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5440 SW WESTGATE DR, SUITE 215, PORTLAND, OR 97221-2420
(503) 297-3756
(503) 297-0454
Mailing address
5440 SW WESTGATE DR, SUITE 215, PORTLAND, OR 97221-2420
(503) 297-3756
(503) 297-0454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5666
OR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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