| Brian W. Humble, D.d.s., M.s., P.c. | |
|
911 Main St Oregon City OR 97045-1818 | |
| (503) 650-6116 | |
| (503) 650-6198 |
| Full Name | Brian W. Humble, D.d.s., M.s., P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 911 Main St, Oregon City, Oregon |
| Authorized Official Name and Position | Brian W. Humble (PRESIDENT) |
| Authorized Official Contact | 5036506116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W. Humble, D.d.s., M.s., P.c. 911 Main St Oregon City OR 97045-1818 Ph: (503) 650-6116 | Brian W. Humble, D.d.s., M.s., P.c. 911 Main St Oregon City OR 97045-1818 Ph: (503) 650-6116 |
| NPI Number | 1366655938 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366655938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D7053 (Oregon) | Primary |
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