Individual
DR. MARK KEITH RODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 292-6773
(503) 246-4206
Mailing address
8568 SW APPLE WAY, PORTLAND, OR 97225-1772
(503) 292-6773
(503) 246-4206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5827
OR
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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