Individual
MR. RUVIN GREGORY BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
10940 SW BARNES RD # 294, PORTLAND, OR 97225-5368
(503) 750-7020
Mailing address
10940 SW BARNES RD #294, PORTLAND, OR 97225
(503) 750-7020
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4281
OR
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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