Michael Bruinooge D.D.S.

NPI 1427178011 - Dentist - 1223G0001X

NPI Details
NPI 1427178011
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2038 LLOYD CTR
SUITE C300
PORTLAND OR, 97232-1309, US
Phone (503) 288-5361
Fax
Business Location
1101 SE TECH CENTER DR
SUITE 195
VANCOUVER WA, 98683-5504, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D8408
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According to our database, Dr. Michael Bruinooge D.D.S. NPI is 1427178011, taxonomy code is 1223G0001X and license number is D8408, license state is located at Oregon. Michael Bruinooge D.D.S. physically located at 2038 Lloyd Ctr, Portland OR, 97232-1309. NPI Number Michael Bruinooge D.D.S. has the Individual type.

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1427178011 NPI number is provided on an as is basis without warranty of any kind. 1427178011 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Bruinooge D.D.S. are for informational purposes only.