DR. Robert W. Southworth, D. M. D.

NPI #1861612889 in Portland, Oregon

Provider Information

NPI Number
1861612889
Entity Type
Individual
Name
DR. Robert W. Southworth, D. M. D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D. M. D.
Enumeration Date
May 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1822 NE 33RD AVE
State
Oregon
ZIP Code
97212-5112
Phone
(503) 249-0770

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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