NPI 1952584237

Ronald D Farris, DDMLD

Practitioner Denturist Gresham, OR

Practice location

Address: 21511 SE Stark St, Gresham, OR 97030-2025
Phone: (503) 666-1698
Fax: (503) 666-7734

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-605320 (OR)

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Registry record

NPI: 1952584237
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2007
Record last updated: 10 Dec 2007

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.