Individual
KARLY GUSHIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2101 SE CESAR ESTRADA CHAVEZ BOULEVARD, PORTLAND, OR 97214
(503) 234-6148
Mailing address
615 NW LOST SPRINGS TER UNIT 303, PORTLAND, OR 97229-6497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12262
OR
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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