Individual
DR. KEVIN RICHARD MORICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5331 SW MACADAM AVE, SUITE # 254, PORTLAND, OR 97239-6104
(503) 245-9702
Mailing address
5331 SW MACADAM AVE, SUITE # 254, PORTLAND, OR 97239-6104
(503) 245-9702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7954
OR
Other
Enumeration date
10/02/2006
Last updated
05/09/2008
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