Individual
DR. TROY NELSON PORTASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4511 SE HAWTHORNE, SUITE 109, PORTLAND, OR 97215-3170
(503) 238-4066
Mailing address
4511 SE HAWTHORNE BLVD, SUITE 109, PORTLAND, OR 97215-3170
(503) 238-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7347
OR
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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