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Clifford Daniel Heaberlin
Student in an Organized Health Care Education/Training Program in Clackamas, Oregon
NPI 1700313871

Clifford Daniel Heaberlin is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Clifford Daniel Heaberlin practices in Clackamas, OR. The NPI Number for Clifford Daniel Heaberlin is 1700313871 and holds a License No. D10706 (Oregon).

The current practice location address for Clifford Daniel Heaberlin is 9775 Se Sunnyside Rd Ste 200, Clackamas, OR and can be reached out via phone at 503-655-8471. You can also correspond with Clifford Daniel Heaberlin through the mailing address at 4211 N MISSISSIPPI AVE, PORTLAND, OR - 97217-3132 (mailing address contact number: ).

Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR, 97217-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700313871
Provider Name
Clifford Daniel Heaberlin
Credential
Provider Entity Type
Individual
Gender
Male
Address
9775 Se Sunnyside Rd Ste 200, Clackamas, OR, 97217-3132
Phone Number
503-655-8471
Fax Number
Provider Enumeration Date
05/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9775 Se Sunnyside Rd Ste 200
City
Clackamas
State
Oregon
Zip
97015-5721
Phone Number
503-655-8471
Fax Number
person
Provider Business Mailing Address Details
Address
9775 Se Sunnyside Rd Ste 200
City
Clackamas
State
Oregon
Zip
97015-5721
Phone Number
503-655-8471
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D10706 (Oregon)
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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