Individual
BRIAN R HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
191 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060
(503) 674-8767
Mailing address
191 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10875
OR
Other
Enumeration date
06/08/2017
Last updated
08/23/2019
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