Search › Oregon › 1223G0001X
Jack Henry, D.M.D
NPI 1306860556 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3993 Lake Grove Ave
Lake Oswego, OR 97035 - Phone
- (503) 636-0055
- Organisation at this address
- Ryan Randol Dds Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon