Individual
DR. ERIC MATZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
18807 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6735
(503) 657-0399
Mailing address
15972 NW RONDOS DR, PORTLAND, OR 97229-9238
(503) 702-4088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9528
OR
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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