Individual
DR. MICHAEL EDWARD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Mailing address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4512
OR
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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