Individual
DR. JARED C FRISBIE-TEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(503) 257-5959
Mailing address
0720 SW GAINES ST UNIT 211, PORTLAND, OR 97239-4650
(646) 266-5427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22D102363700
NJ
1223E0200X
Endodontics
Primary
D9327
OR
Other
Enumeration date
07/20/2008
Last updated
09/18/2009
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