Individual
ANDREW MICHAEL BROADSWORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 NE MULTNOMAH ST STE 880, PORTLAND, OR 97232-4118
(503) 230-1234
(503) 239-7741
Mailing address
700 NE MULTNOMAH ST STE 880, PORTLAND, OR 97232-4118
(503) 230-1234
(503) 239-7741
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D9961
OR
Other
Enumeration date
09/17/2013
Last updated
07/03/2019
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