Individual
JOHN CRAIG BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 SW CAMPUS DR, ROOM 19, PORTLAND, OR 97239-3001
(503) 494-4316
(503) 494-8384
Mailing address
5900 SUNCREEK DR, LAKE OSWEGO, OR 97035-8779
(503) 639-6264
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D6760
OR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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