Individual
PETER DJOPAIH BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8400 NE VANCOUVER MALL LOOP STE 105, VANCOUVER, WA 98662-6672
(360) 839-2793
Mailing address
3027 SE 28TH AVE, PORTLAND, OR 97202-2002
(503) 729-5021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202036
CO
1223G0001X
General Practice Dentistry
D10894
OR
1223G0001X
General Practice Dentistry
Primary
DE61487151
WA
Other
Enumeration date
05/15/2012
Last updated
01/02/2024
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