Individual
ALLISON CAROL BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
611 SW CAMPUS DR # 19, PORTLAND, OR 97239-3001
(503) 494-4316
(503) 494-8384
Mailing address
611 SW CAMPUS DR # 19, PORTLAND, OR 97239-3001
(503) 494-4316
(503) 494-8384
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D8688
OR
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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