Organization · Type 2 NPI

Cloud Nine Raleigh Park Dental LLC

Dental Clinic/Center · Portland, OR

NPI number 1699467498 Active

Practice location

8568 SW Apple Way
Portland, OR 97225-1772

Mailing address

624 3rd St S
Nampa, ID 83651-3840

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1699467498

Cloud Nine Raleigh Park Dental LLC's National Provider Identifier is 1699467498, issued on May 22, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on May 22, 2023.