Individual
DR. CHARLES JOHN KERSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3800 SW DOSCH RD, PORTLAND, OR 97239-1431
(503) 226-0890
Mailing address
3800 SW DOSCH RD, PORTLAND, OR 97239-1431
(503) 226-0890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6408
OR
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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