Individual
DR. DENISE MARIE WALTHOUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3505 SE 36TH AVE, PORTLAND, OR 97202-1862
(503) 235-7181
(503) 235-4909
Mailing address
3505 SE 36TH AVE, PORTLAND, OR 97202-1862
(503) 235-7181
(503) 235-4909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6649
OR
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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