Individual
COREY STEPHEN MALENSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5024
Mailing address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10602
OR
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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