Individual
DR. TIMOTHY RAY HARBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1174 MOLALLA AVE, OREGON CITY, OR 97045-3770
(503) 646-6464
(503) 557-4677
Mailing address
6789 NW METGE AVE, ALBANY, OR 97321-9355
(503) 551-6349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6816
OR
Other
Enumeration date
09/10/2012
Last updated
10/03/2012
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