Individual
DR. TAMARA JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
11790 SW BARNES RD STE 390, PORTLAND, OR 97225-5935
(503) 352-3800
(503) 352-0207
Mailing address
11790 SW BARNES RD STE 390, PORTLAND, OR 97225-5935
(503) 352-3800
(503) 352-0207
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1223X0400X
OR
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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