ROY CREAGER LUSCH

PORTLAND, OR
NPI1467519868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  6360)
Enumeration Date2007-01-03
Last Update Date2012-12-19
Business Address
Dr. ROY CREAGER LUSCH DDS
948 NE 102ND AVE SUITE 105
PORTLAND, OR 97220-4064
Phone number: 503-253-1109
Mailing Address
Dr. ROY CREAGER LUSCH DDS
1405 SE 115TH AVE
PORTLAND, OR 97216-3965
Phone number: 503-863-4048
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