Individual
JEFFREY O ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10980 SW BARNES RD, PORTLAND, OR 97225-5368
(503) 626-7007
(503) 626-7032
Mailing address
10980 SW BARNES RD, PORTLAND, OR 97225-5368
(503) 626-7007
(503) 626-7032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5277
OR
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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