Individual
MR. MARK JAMES KAIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 SW FIRST AVE, SUITE 210, PORTLAND, OR 97201
(503) 222-6611
(503) 296-5460
Mailing address
2000 SW FIRST AVE, SUITE 210, PORTLAND, OR 97201
(503) 222-6611
(503) 296-5460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07987
OR
122300000X
Dentist
DE00009094
WA
Other
Enumeration date
03/20/2006
Last updated
02/26/2020
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