Clevenger, Bryan
Clevenger, Bryan is an sole proprietor health care provider with primary practice located at 7095 Sw Gonzaga St , Tigard OR 97223-8309. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clevenger, Bryan can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
7095 Sw Gonzaga St
Tigard OR 97223-8309
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D11035 | Oregon |
Profile Details
| NPI number | 1780065128 |
|---|---|
| LBN Legal business name | Clevenger, Bryan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Sep 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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