Individual
DR. ROBERT HIGHLEY EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 PORTLAND AVE, GLADSTONE, OR 97027-2450
(503) 656-8426
Mailing address
325 PORTLAND AVE, GLADSTONE, OR 97027-2450
(503) 656-8426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5777
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5777
STATE LICENSE NUMBER
OR
Enumeration date
08/31/2006
Last updated
07/08/2007
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