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1821225442
MATTHEW RYAN KATHAN
RAINIER, OR
NPI
1821225442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9561)
Additional Taxonomies
122300000X Dentist
(Licence: NE 6851)
Enumeration Date
2009-06-22
Last Update Date
2013-03-19
Business Address
Dr. MATTHEW RYAN KATHAN DDS
303 E A ST
RAINIER, OR 97048-3132
Phone number: 503-556-2212
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Mailing Address
Dr. MATTHEW RYAN KATHAN DDS
5400 NE RODNEY AVE
PORTLAND, OR 97211-2642
Phone number: 971-506-3407
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