Individual
LARRY M DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 SW CAMPUS DR, PORTLAND, OR 97239-3001
(503) 494-4316
(503) 494-8384
Mailing address
14525 SW 130TH AVE, TIGARD, OR 97224-1782
(503) 639-0574
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6033
OR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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