NATHANIEL M AUSTRIA

PORTLAND, OR
NPI1164642161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D-6857)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- NATHANIEL M AUSTRIA
4732 NW BETHANY BLVD. SUITE G 2
PORTLAND, OR 97229
Phone number: 503-617-7384
Mailing Address
-- NATHANIEL M AUSTRIA
PO BOX 918
SCAPPOOSE, OR 97056
Phone number:
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