Individual
DR. JOHN W PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60273277
WA
122300000X
Dentist
Primary
9034
OR
Other
Enumeration date
04/03/2007
Last updated
04/30/2015
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