Organization
TERRY L ISOM DMD,PC
Active
Other names
TERRY L ISOM DMD,PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY ISOM DMD (PRESIDENT-OWNER)
(503) 496-4766
Entity
Organization
Contact information
Practice address
6400 SE LAKE RD STE 140, PORTLAND, OR 97222-2194
(503) 496-4766
Mailing address
6400 SE LAKE RD STE 140, PORTLAND, OR 97222-2194
(503) 496-4766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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