Individual
JIA LIN GOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2403 SE MONROE ST STE F, PORTLAND, OR 97222-7646
(503) 305-6068
Mailing address
PO BOX 56255, PORTLAND, OR 97238-6255
(503) 305-6068
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
D7539
OR
1223G0001X
General Practice Dentistry
Primary
7539
OR
Other
Enumeration date
12/18/2006
Last updated
03/15/2012
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