Individual
THOMAS EDWIN REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
13255 SE STARK ST, PORTLAND, OR 97233-1548
(855) 433-6825
Mailing address
420 NW 11TH AVE UNIT 708, PORTLAND, OR 97209-2964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12211
OR
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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