Individual
DR. TOM C MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2075 SW 1ST AVE, SUITE 2L, PORTLAND, OR 97201-5314
(503) 222-9961
(503) 464-0221
Mailing address
2075 SW 1ST AVE, SUITE 2L, PORTLAND, OR 97201-5314
(503) 222-9961
(503) 464-0221
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3881
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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