Individual
DR. JEFFERY RAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
13519 SW 63RD PL, PORTLAND, OR 97219-8150
(503) 701-0988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11387
OR
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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