Individual
DARRELL LEE ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16330 SE STARK STREET, PORTLAND, OR 97233
(503) 252-5567
(503) 252-1995
Mailing address
16330 SE STARK STREET, PORTLAND, OR 97233
(503) 252-5567
(503) 252-1995
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
6718
OR
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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