Individual
DR. JAY H LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 SW 10TH AVE, SUITE 1102, PORTLAND, OR 97205-2732
(503) 222-2157
Mailing address
511 SW 10TH AVE, SUITE 1102, PORTLAND, OR 97205-2732
(503) 222-2157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7817
OR
Other
Enumeration date
05/01/2007
Last updated
09/19/2014
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