Individual
DR. OWEN COMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1916 NE 76TH AVE, PORTLAND, OR 97213-6018
(503) 799-2662
Mailing address
PO BOX 894, PORTLAND, OR 97207-0894
(503) 799-2662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8014
OR
Other
Enumeration date
10/28/2008
Last updated
12/21/2011
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