Individual
DR. JOEL D WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
511 SW 10TH AVE, SUITE 1206, PORTLAND, OR 97205-2732
(503) 227-1693
(503) 227-2362
Mailing address
7005 SW 142ND PL, BEAVERTON, OR 97008-5553
(503) 643-3442
(503) 626-7885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4787
OR
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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