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Individual

DR. JEFFERY C. SPATHAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4901 NE GLISAN ST, PORTLAND, OR 97213-2935
(503) 231-1644
Mailing address
4901 NE GLISAN ST, PORTLAND, OR 97213-2935
(503) 231-1644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6432
OR

Other

Enumeration date
05/23/2005
Last updated
07/08/2007
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