GORDON ROY HOVERSLAND

BEAVERTON, OR
NPI1518927979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5961)
Enumeration Date2006-03-28
Last Update Date2007-07-08
Business Address
Dr. GORDON ROY HOVERSLAND dmd
4350 SW CEDAR HILLS BLVD
BEAVERTON, OR 97005-2013
Phone number: 503-644-8666
Mailing Address
Dr. GORDON ROY HOVERSLAND dmd
255 SW 173RD AVE
BEAVERTON, OR 97006-4112
Phone number: 503-645-1002