Individual
DR. GEOFFREY RICHARD CLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11082 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-3456
Mailing address
11082 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 654-3456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15837
MD
1223E0200X
Endodontics
Primary
11039
OR
Other
Enumeration date
04/29/2015
Last updated
10/05/2022
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