John Worthington Dds, PC

NPI #1003115676 in Portland, Oregon

Provider Information

NPI Number: 1003115676
Entity Type: Organization
Organization Name: John Worthington Dds, PC
Primary Specialty: Dentist
Enumeration Date: Mar 22, 2011
Last Updated: Mar 22, 2011

Practice Location

Address: 1904 NE 45TH AVE
City: Portland
State: Oregon
ZIP Code: 97213-1418
Phone: (503) 281-0866

Authorized Official

Name: DR. JOHN HARLEY WORTHINGTON, DDS
Title: PRESIDENT
Phone: (503) 281-0866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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