Individual
DR. GARY THOMAS MCGAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11507 SW SHILO LANE, PORTLAND, OR 97225
(503) 626-1730
(503) 643-4396
Mailing address
11507 SW SHILO LANE, PORTLAND, OR 97225
(503) 626-1730
(503) 643-4396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4069
OR
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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