Individual
DR. RAPHAEL SOLOMON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1290 GEARY ST SE, ALBANY, OR 97322-6833
(541) 704-7532
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10759
OR
Other
Enumeration date
11/14/2017
Last updated
01/08/2018
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