Individual
DR. CLAYTON LJ SCARZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
(503) 408-1472
Mailing address
5105 N CONCORD AVE, PORTLAND, OR 97217-3709
(503) 289-0128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6515
OR
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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