Individual
SCOTT RAYMOND NEISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1275 SW 158TH AVE., BEAVERTON, OR 97006
(503) 641-1600
(503) 643-4498
Mailing address
1275 SW 158TH AVE., BEAVERTON, OR 97006
(503) 641-1600
(503) 643-4498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5979
OR
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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