Individual
DR. GORDON DOUGLAS REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
611 SW CAMPUS DR, PORTLAND, OR 97239-3001
(503) 494-8791
Mailing address
200 W 9TH ST, THE DALLES, OR 97058-1913
(541) 296-9535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4864
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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