Individual
DR. MICHAEL CHARLES ROYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE #810, PORTLAND, OR 97205-2732
(503) 223-3910
(503) 223-1123
Mailing address
511 SW 10TH AVE, SUITE #810, PORTLAND, OR 97205-2732
(503) 223-3910
(503) 223-1123
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D6613
OR
Other
Enumeration date
07/05/2005
Last updated
04/05/2016
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