Individual
DR. SAMUEL HIGDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2250 NW FLANDERS ST, STE 111, PORTLAND, OR 97210-5409
(503) 227-4844
(503) 243-1716
Mailing address
2250 NW FLANDERS ST, STE 111, PORTLAND, OR 97210-5409
(503) 227-4844
(503) 243-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3965
OR
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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