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Portland Dental Anesthesia
Dentist Anesthesiologist in Sherwood, Oregon
NPI 1639604689

Portland Dental Anesthesia is a Dentist Anesthesiologist based in Sherwood, OR and is specialized in Dentist Anesthesiologist. Portland Dental Anesthesia practices in Sherwood, OR. The NPI Number for Portland Dental Anesthesia is 1639604689 and holds a License No. D9387 (Oregon).

The current practice location address for Portland Dental Anesthesia is 21370 Sw Langer Farms Pkwy #142, Sherwood, OR and can be reached out via phone at 503-858-4880 and via fax at 503-914-6685.

Location: 21370 Sw Langer Farms Pkwy #142, Sherwood, OR, 97140-9137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639604689
Provider Name
Portland Dental Anesthesia
Credential
Provider Entity Type
Organization
Address
21370 Sw Langer Farms Pkwy #142, Sherwood, OR, 97140-9137
Phone Number
503-858-4880
Fax Number
503-914-6685
Provider Enumeration Date
04/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21370 Sw Langer Farms Pkwy #142
City
Sherwood
State
Oregon
Zip
97140-9137
Phone Number
503-858-4880
Fax Number
503-914-6685
person
Provider Business Mailing Address Details
Address
21370 Sw Langer Farms Pkwy #142
City
Sherwood
State
Oregon
Zip
97140-9137
Phone Number
503-858-4880
Fax Number
503-914-6685
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
D9387 (Oregon)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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