Individual
MR. CHRISTOPHER PETER MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
200 NE 20TH AVE STE 100, PORTLAND, OR 97232-3094
(503) 230-0207
Mailing address
200 NE 20TH AVE STE 100, PORTLAND, OR 97232-3094
(503) 230-0207
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10198679
OR
Other
Enumeration date
05/15/2019
Last updated
02/25/2022
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