Individual
DR. PHILIPP KUPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
11786 SW BARNES ROAD, SUITE 110, PORTLAND, OR 97225
(503) 444-6444
(503) 444-4243
Mailing address
41450 NW LODGE ROAD, BANKS, OR 97106
(503) 942-2323
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9664
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD188695
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
09/16/2025
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