Individual
DR. CHARLES CALVERT ROSSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
Mailing address
500 NE MULTNOMAH ST, STE 100, PORTLAND, OR 97232-2031
(503) 813-4947
(503) 813-3103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6305
OR
Other
Enumeration date
07/13/2006
Last updated
06/03/2016
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