Individual
DR. JONATHAN VINCENT ROXAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6227 SE POWELL BLVD, PORTLAND, OR 97206-2749
(503) 777-1332
(360) 777-9990
Mailing address
6227 SE POWELL BLVD, PORTLAND, OR 97206-2749
(503) 777-1332
(360) 777-9990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7827
OR
Other
Enumeration date
06/15/2005
Last updated
10/03/2011
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