Individual
DR. KASEY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14210 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5241
(503) 658-3384
Mailing address
14210 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5241
(971) 645-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33334
TX
1223P0221X
Pediatric Dentistry
Primary
D11968
OR
Other
Enumeration date
06/18/2017
Last updated
04/08/2025
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