Individual
DR. MARK A COUSSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
433 SE BASELINE ST, HILLSBORO, OR 97123
(503) 648-4431
(503) 640-0896
Mailing address
433 SE BASELINE ST, HILLSBORO, OR 97123
(503) 648-4431
(503) 640-0896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5156
OR
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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