Individual
DR. MIKYL QUINN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
773 GOLF VIEW DR, MEDFORD, OR 97504-9643
(541) 857-2790
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2167
(503) 952-2267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10071
OR
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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