Organization · Type 2 NPI

Charles L Branen DMD PC

Dental Clinic/Center · Portland, OR

NPI number 1053614396 Active

Practice location

4433 NE Tillamook St
Portland, OR 97213-1317

Call (503) 288-6963 Map

Fax (503) 288-4939

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XD7206 (OR)

Dental Clinic/Center: Definition to come...

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About NPI 1053614396

Charles L Branen DMD PC's National Provider Identifier is 1053614396, issued on Dec 8, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Dec 8, 2010.