Individual
DR. MARK MUTSCHLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
13908 SE STARK ST, STE C, PORTLAND, OR 97233-2161
(503) 254-5535
Mailing address
13908 SE STARK ST, STE C, PORTLAND, OR 97233-2161
(503) 254-5535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38336
CA
1223P0221X
Pediatric Dentistry
D6996
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D6996
OR
Other
Enumeration date
05/24/2005
Last updated
09/11/2025
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