Individual
DR. TERRY L ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6400 SE LAKE RD, SUITE 140, PORTLAND, OR 97222-2129
(503) 496-4766
(503) 496-4700
Mailing address
6400 SE LAKE RD, SUITE 140, PORTLAND, OR 97222-2129
(503) 496-4766
(503) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D6688
OR
Other
Enumeration date
06/21/2005
Last updated
03/01/2009
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