institution
Ne 82nd Avenue Dental Llc
Dental Clinic/Center in Portland, Oregon
NPI 1700192184

Ne 82nd Avenue Dental Llc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Ne 82nd Avenue Dental Llc practices in Portland, OR. The NPI Number for Ne 82nd Avenue Dental Llc is 1700192184 and holds a License No. D8506 (Oregon).

The current practice location address for Ne 82nd Avenue Dental Llc is 2150 Ne 82Nd Ave, Portland, OR and can be reached out via phone at 503-254-0897 and via fax at 503-254-0894.

Location: 2150 Ne 82Nd Ave, Portland, OR, 97220-5607
institution
Provider Profile Details
NPI Number
1700192184
Provider Name
Ne 82nd Avenue Dental Llc
Credential
Provider Entity Type
Organization
Address
2150 Ne 82Nd Ave, Portland, OR, 97220-5607
Phone Number
503-254-0897
Fax Number
503-254-0894
Provider Enumeration Date
08/24/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2150 Ne 82Nd Ave
City
State
Zip
97220-5607
Phone Number
503-254-0897
Fax Number
503-254-0894
person
Provider Business Mailing Address Details
Address
2150 Ne 82Nd Ave
City
State
Zip
97220-5607
Phone Number
503-254-0897
Fax Number
503-254-0894
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D8506 (Oregon)
Definition
Definition to come...
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