Individual
DR. JOHN GABRIEL COLASURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205
(503) 223-7661
(503) 223-6997
Mailing address
833 SW 11TH AVE, SUITE 723, PORTLAND, OR 97205
(503) 223-7661
(503) 223-6997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5948
OR
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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