DANIEL E BLICKENSTAFF

PORTLAND, OR
NPI1073572459
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D6921)
Enumeration Date2006-03-22
Last Update Date2007-07-08
Business Address
DR. DANIEL E BLICKENSTAFF DDS
975 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number: 503-646-1463
Mailing Address
DR. DANIEL E BLICKENSTAFF DDS
975 NW SALTZMAN RD
PORTLAND, OR 97229-5647
Phone number: 503-646-1463
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