Individual provider · Type 1 NPI

Robert W. Southworth, D. M. D.

General Practice Dentistry · Portland, OR

NPI number 1861612889 Active

About NPI 1861612889

Robert W. Southworth, D. M. D.'s National Provider Identifier is 1861612889, issued on May 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.