Organization · Type 2 NPI

Providence Health & Services-Oregon

Dental Clinic/Center · Portland, OR

NPI number 1124343215 Active

Practice location

830 NE 47th Ave, Attn: Dental Clinic
Portland, OR 97213-2212

Call (503) 215-2400 Map

Fax (503) 215-0660

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

47 other providers at this address

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About NPI 1124343215

Providence Health & Services-Oregon's National Provider Identifier is 1124343215, issued on Mar 31, 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 Mar 31, 2010.