Provider Demographics
NPI:1215953922
Name:STREIFF, DAVID WARREN (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WARREN
Last Name:STREIFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18335 LOTHLORIEN WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-7358
Mailing Address - Country:US
Mailing Address - Phone:503-638-4696
Mailing Address - Fax:
Practice Address - Street 1:7110 SW HAZELFERN RD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-7776
Practice Address - Country:US
Practice Address - Phone:503-431-3200
Practice Address - Fax:503-431-3210
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD64681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice