Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | 10170823 | OR |
NPI | 1861905010 |
---|---|
Provider Name | Cliff P Robertson |
First Address | Ontario, OR 97914-2112 |
Second Address | Ontario, OR 97914-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2017 |
Last Update Date | 16/06/2018 |