Individual
MR. KAZUYUKI MATSUOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
160 NE 6TH ST, NEWPORT, OR 97365-3131
(451) 265-8200
Mailing address
22524 SW 96TH DR, TUALATIN, OR 97062-7398
(408) 621-4747
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10197097
OR
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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