Individual
DR. JONATHAN BRET FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2031 HAWTHORNE ST STE B, FOREST GROVE, OR 97116-1700
(503) 359-4463
Mailing address
2031 HAWTHORNE ST STE B, FOREST GROVE, OR 97116-1700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11642
OR
Other
Enumeration date
06/06/2022
Last updated
01/01/2024
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