Individual
DR. BARRY ORRICK EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12887 NW CORNELL RD, PORTLAND, OR 97229-5813
(503) 644-3105
(503) 619-0066
Mailing address
12887 NW CORNELL RD, PORTLAND, OR 97229-5813
(503) 644-3105
(503) 619-0066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4423
OR
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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