Individual
DR. JOHN TRAVIS DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
640 12TH ST SE, SALEM, OR 97301-4001
(503) 364-7944
(503) 585-8902
Mailing address
640 12TH ST SE, SALEM, OR 97301-4001
(503) 364-7944
(503) 585-8902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9931
OR
Other
Enumeration date
08/07/2013
Last updated
08/11/2016
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