Individual
MICHAEL PAUL MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2031 HAWTHORNE ST STE D, FOREST GROVE, OR 97116-1700
(503) 357-5221
(503) 357-7931
Mailing address
2031 HAWTHORNE ST STE D, FOREST GROVE, OR 97116-1700
(503) 357-5221
(503) 357-7931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8960
OR
Other
Enumeration date
03/25/2008
Last updated
10/27/2009
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