Individual
DR. KENNETH MARNE STINCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
405 SE 133RD AVE, PORTLAND, OR 97233-1809
(503) 255-7188
(503) 261-0971
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2125
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-3945-OS
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D8179
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00005871
WA
Other
Enumeration date
12/28/2006
Last updated
04/20/2015
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