Individual
DR. ROY PETER GUERIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2530 GAME FARM RD, SPRINGFIELD, OR 97477-7513
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7113
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076351
—
OR
05
—
1843555
—
LA
Enumeration date
11/10/2006
Last updated
08/12/2019
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