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1891538237
BRYCE BOTHWELL
PORTLAND, OR
NPI
1891538237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
Dr. BRYCE BOTHWELL DMD
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-8867
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Mailing Address
Dr. BRYCE BOTHWELL DMD
625 S FLORIDA ST
PORTLAND, OR 97219-2984
Phone number: 971-570-1966
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