Organization · Type 2 NPI

Heritage Dental

Dental Clinic/Center · Portland, OR

NPI number 1669759767 Active

Practice location

4511 SE Hawthorne Blvd, Suite 101
Portland, OR 97215-3195

Call (503) 231-8228 Map

Fax (503) 231-5634

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X5651 (OR)
Dental Clinic/Center 261QD0000X9096 (OR)

Dental Clinic/Center: Definition to come...

14 other providers at this address

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About NPI 1669759767

Heritage Dental's National Provider Identifier is 1669759767, issued on Nov 3, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Jul 11, 2013.