Individual
DR. MCGARRETT THOMAS SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4103 SE RURAL ST, PORTLAND, OR 97202-7844
(510) 507-2640
Mailing address
4103 SE RURAL ST, PORTLAND, OR 97202-7844
(510) 507-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11092
OR
Other
Enumeration date
03/17/2018
Last updated
07/15/2019
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