Individual
BRIAN JOCHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1440 N LOMBARD ST, PORTLAND, OR 97217-5533
(971) 242-4355
Mailing address
8400 NE VANCOUVER MALL LOOP STE 105, VANCOUVER, WA 98662-6672
(360) 219-9616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9994
OR
122300000X
Dentist
DE60446726
WA
1223P0221X
Pediatric Dentistry
Primary
DE60446726
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2011
Last updated
04/19/2018
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