Individual
MR. KEITH YUREVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
12750 SE STARK ST, PORTLAND, OR 97233-1539
(503) 255-2710
Mailing address
222 SW OWENS PL, TROUTDALE, OR 97060-1398
(908) 208-0092
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6083
OR
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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