institution
Billi Odegaard Dental Clinic
Federally Qualified Health Center (FQHC) in Portland, Oregon
NPI 1871843078

Billi Odegaard Dental Clinic is a Federally Qualified Health Center (FQHC) based in Portland, OR and is specialized in Federally Qualified Health Center (FQHC). Billi Odegaard Dental Clinic practices in Portland, OR. The NPI Number for Billi Odegaard Dental Clinic is 1871843078 and holds a License No. (Oregon).

The current practice location address for Billi Odegaard Dental Clinic is 33 Nw Broadway, Portland, OR and can be reached out via phone at 503-988-5770 and via fax at 503-988-5442.

Location: 33 Nw Broadway, Portland, OR, 97209-3964
institution
Provider Profile Details
NPI Number
1871843078
Provider Name
Billi Odegaard Dental Clinic
Credential
Provider Entity Type
Organization
Address
33 Nw Broadway, Portland, OR, 97209-3964
Phone Number
503-988-5770
Fax Number
503-988-5442
Provider Enumeration Date
09/14/2012
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096511 05 OR
022959 05 OR
institution
Provider Business Practice Location Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-988-5770
Fax Number
503-988-5442
person
Provider Business Mailing Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-988-5770
Fax Number
503-988-5442
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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