Individual
DR. ANDREW LAYBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1809 NW DAVIS ST, PORTLAND, OR 97209-2145
(503) 221-1973
Mailing address
1809 NW DAVIS ST, PORTLAND, OR 97209-2145
(503) 221-1973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9959
OR
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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