Individual
COLEMAN BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3300 SE DWYER DR STE 302, MILWAUKIE, OR 97222-6548
(503) 850-4479
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
(503) 747-7013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10692
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500728313
—
OR
Enumeration date
07/11/2017
Last updated
04/20/2020
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