ROBERT W. SOUTHWORTH

PORTLAND, OR
NPI1861612889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5220)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. ROBERT W. SOUTHWORTH D. M. D.
1822 NE 33RD AVE
PORTLAND, OR 97212-5112
Phone number: 503-249-0770
Mailing Address
Dr. ROBERT W. SOUTHWORTH D. M. D.
1822 NE 33RD AVE
PORTLAND, OR 97212-5112
Phone number: 503-249-0770
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