Healthcare Provider Details

I. General information

NPI: 1427976984
Provider Name (Legal Business Name): FRANKLIN GUSTAVO FLORES DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9997 SE 82ND AVE
HAPPY VALLEY OR
97086-2301
US

IV. Provider business mailing address

9997 SE 82ND AVE
HAPPY VALLEY OR
97086-2301
US

V. Phone/Fax

Practice location:
  • Phone: 503-224-9009
  • Fax:
Mailing address:
  • Phone: 503-224-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD12410
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: