Individual
DR. JOHN LINDSAY TULLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16463 BOONES FERRY RD STE 200, THE OLSON MEMORIAL CLINIC, LAKE OSWEGO, OR 97035-4375
(503) 635-7701
Mailing address
16463 BOONES FERRY RD STE 200, THE OLSON MEMORIAL CLINIC, LAKE OSWEGO, OR 97035-4375
(503) 635-7701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OR5420
OR
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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