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Individual

DR. ROBERT S HENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11786 SW BARNES RD, SUITE 210, PORTLAND, OR 97225-5925
(503) 531-3550
(503) 531-3560
Mailing address
11786 SW BARNES RD, SUITE 210, PORTLAND, OR 97225-5925
(503) 531-3550
(503) 531-3560

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7714
OR

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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