Individual
DR. JOHN ROBERT WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(971) 418-5799
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5799
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D10693
OR
Other
Enumeration date
04/27/2013
Last updated
11/12/2019
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