Keith Brannen - Portland, OR

Keith Brannen

General Practice Dentistry in Portland, Oregon

NPI 1316391402

Keith Brannen is a General Practice Dentistry based in Portland, OR and is specialized in General Practice. Keith Brannen practices in Portland, OR. The NPI Number for Keith Brannen is 1316391402 and holds a License No. (Oregon).

The current practice location address for Keith Brannen is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8916 and via fax at 503-494-6783.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011

NPI Number

1316391402

Provider Name

Keith Brannen

Credential

Provider Entity Type

Individual

Gender

Male

Address

3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011

Phone Number

503-494-8916

Fax Number

503-494-6783

Provider Enumeration Date

04/15/2016

Last Update Date

03/09/2024

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8916

Fax Number

503-494-6783

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8916

Fax Number

503-494-6783

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

D11353 (Oregon)

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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