Healthcare Provider Details

I. General information

NPI: 1902098551
Provider Name (Legal Business Name): BRYAN S EUZENT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 SW WARM SPRINGS ST STE 200
TUALATIN OR
97062-9347
US

IV. Provider business mailing address

8220 SW WARM SPRINGS ST STE 200
TUALATIN OR
97062-9347
US

V. Phone/Fax

Practice location:
  • Phone: 503-629-0337
  • Fax:
Mailing address:
  • Phone: 503-629-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD8870
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: