Individual
DR. ROBERT EUGENE HESSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR DENTIST
Contact information
Practice address
11619 NE GLISAN STREET, PORTLAND, OR 97220
(503) 255-9733
(503) 255-9733
Mailing address
11619 NE GLISAN STREET, PORTLAND, OR 97220
(503) 255-9733
(503) 255-9733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5123
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093674
—
OR
Enumeration date
09/30/2006
Last updated
07/08/2007
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