Individual
DR. BRAD S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4506 SE 105TH AVE, PORTLAND, OR 97266
(503) 760-1818
(503) 762-4064
Mailing address
PMB 66636, PORTLAND, OR 97260
(503) 760-1818
(503) 762-4064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6080
OR
Other
Enumeration date
11/01/2006
Last updated
10/27/2016
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