Organization · Type 2 NPI
Columbia River Dentistry-Gresham, LLC
Dental Clinic/Center · Gresham, OR
NPI number
1508416041
Active
Practice location
1700 NW Civic Dr Ste 320
Gresham, OR 97030-3774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1508416041
Columbia River Dentistry-Gresham, LLC's National Provider Identifier is 1508416041, issued on Sep 17, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gresham, OR. The record was last updated on Sep 17, 2019.