Individual
DR. JEFFERY EDWIN REDDICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7095 SW GONZAGA ST, TIGARD, OR 97223-8309
(503) 620-6715
(503) 620-8259
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6775
OR
Other
Enumeration date
11/22/2006
Last updated
06/01/2015
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