Individual
STEPHEN KENT PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
215 SE 102ND AVE, STE 200, PORTLAND, OR 97216
(503) 253-4700
(503) 253-6597
Mailing address
215 SE 102ND AVE, STE 200, PORTLAND, OR 97216
(503) 253-4700
(503) 253-6597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4263
OR
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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