| John G. Colasurdo D.m.d | |
|
833 Sw 11th Ave Suite 723 Portland OR 97205 | |
| (503) 223-7661 | |
| (503) 223-6997 |
| Full Name | John G. Colasurdo D.m.d |
|---|---|
| Speciality | Dentist |
| Location | 833 Sw 11th Ave, Portland, Oregon |
| Authorized Official Name and Position | John G Colasurdo (OWNER/DENTIST) |
| Authorized Official Contact | 5032237661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John G. Colasurdo D.m.d 833 Sw 11th Ave Suite 723 Portland OR 97205 Ph: (503) 223-7661 | John G. Colasurdo D.m.d 833 Sw 11th Ave Suite 723 Portland OR 97205 Ph: (503) 223-7661 |
| NPI Number | 1427452085 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427452085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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