Individual
MICHAEL L PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
214 N. RUSSELL STREET, PORTLAND, OR 97227
(503) 494-0566
Mailing address
611 SW CAMPUS DRIVE, DEPARTMENT OF COMMUNITY DENTISTRY, SCHOOL OF DENTISTRY, PORTLAND, OR 97239-3097
(503) 494-0566
(503) 494-8839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8894
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239651
—
OR
Enumeration date
01/18/2006
Last updated
09/10/2007
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