Individual
DR. JAMES ALLEN KATANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
2730 SW MOODY AVE, SDPERI, PORTLAND, OR 97201-5042
(503) 494-4891
Mailing address
2730 SW MOODY AVE, SDPERI, PORTLAND, OR 97201-5042
(503) 494-4891
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DF0025
OR
Other
Enumeration date
04/09/2007
Last updated
06/30/2015
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