Individual
CHARLES O BELUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
419 NW 23RD AVE, PORTLAND, OR 97210
(503) 224-2273
(503) 224-1176
Mailing address
419 NW 23RD AVE, PORTLAND, OR 97210
(503) 224-2273
(503) 224-1176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5419
OR
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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