NPI 1003115676

John Worthington DDS, PC

Organisation Dentist Portland, OR

Practice location

Address: 1904 NE 45th Ave, Portland, OR 97213-1418
Phone: (503) 281-0866
Fax: (503) 281-0867

Authorised official

Name: John Harley Worthington
Title: President
Phone: (503) 281-0866

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D9182 (OR)

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Registry record

NPI: 1003115676
Entity type: Organization
NPI issued: 22 Mar 2011
Record last updated: 22 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.