Individual
DR. JOHN NORMAN MATSCHEK V
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5440 SW WESTGATE DR, SUTIE 390, PORTLAND, OR 97221-2420
(503) 291-7815
(503) 292-2752
Mailing address
5440 SW WESTGATE DR, SUTIE 390, PORTLAND, OR 97221-2420
(503) 291-7815
(503) 292-2752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4748
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4748
DENTAL LICENSE
OR
Enumeration date
08/04/2005
Last updated
07/08/2007
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