Individual
DR. TRAVIS LEE AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6439 NE SANDY BLVD, PORTLAND, OR 97213-4505
(503) 284-3588
(503) 284-3694
Mailing address
6439 NE SANDY BLVD, PORTLAND, OR 97213-4505
(503) 284-3588
(503) 284-3694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9335
OR
Other
Enumeration date
08/20/2009
Last updated
11/16/2012
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