Individual
NATHANIEL M AUSTRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4732 NW BETHANY BLVD., SUITE G 2, PORTLAND, OR 97229
(503) 617-7384
Mailing address
PO BOX 918, SCAPPOOSE, OR 97056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-6857
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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