Individual
RHODORA JUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11699 NE GLISAN ST, PORTLAND, OR 97220-2264
(503) 252-7777
Mailing address
11699 NE GLISAN ST, PORTLAND, OR 97220-2264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8260
OR
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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