Organization · Type 2 NPI

Pacific Northwest Dental, LLC

Dental Clinic/Center · Beaverton, OR

NPI number 1689292781 Active

Practice location

12725 SW 2nd St
Beaverton, OR 97005-2708

Call (503) 644-1953 Map

Mailing address

11263 SW Springwood Dr
Tigard, OR 97223-3320

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1689292781

Pacific Northwest Dental, LLC's National Provider Identifier is 1689292781, issued on Jul 6, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 6, 2020.