BRUCE LEVOYLE RICHARDSON

PORTLAND, OR
NPI1982031316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  9956)
Enumeration Date2013-09-30
Last Update Date2013-09-30
Business Address
Dr. BRUCE LEVOYLE RICHARDSON DMD01/28/1950
3048 SW COMUS ST
PORTLAND, OR 97219-7692
Phone number: 503-484-8130
Mailing Address
Dr. BRUCE LEVOYLE RICHARDSON DMD01/28/1950
3048 SW COMUS ST
PORTLAND, OR 97219-7692
Phone number: 503-484-8130
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