Individual
DR. HOWARD R. JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1616 SW SUNSET BLVD, SUITE B, PORTLAND, OR 97239-2641
(503) 244-8112
(503) 245-4379
Mailing address
1616 SW SUNSET BLVD, SUITE B, PORTLAND, OR 97239-2641
(503) 244-8112
(503) 245-4379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5754
OR
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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