Individual
DR. JOHN D SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
833 SW 11TH AVE, #810, PORTLAND, OR 97205-2125
(503) 241-7353
(503) 525-2966
Mailing address
833 SW 11TH AVE., #810, PORTLAND, OR 97205
(503) 241-7353
(503) 525-2966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5679
OR
Other
Enumeration date
03/23/2006
Last updated
09/27/2007
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