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Individual

RICHARD BRYAN BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213-2933
(503) 215-3053
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 224-0722

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D7759
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD23283
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287231
OR
Enumeration date
07/21/2005
Last updated
01/15/2021
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