Individual provider · Type 1 NPI

Raymond Bernard Tucker, DDS

Pediatric Dentistry · Portland, OR

NPI number 1841585593 Active

Practice location

8931 SE Foster Rd
Portland, OR 97266-4661

Mailing address

353 E Bonneville Ave Unit 720
Las Vegas, NV 89101-6662

Other practice locations

  • 1320 NE 106th Ave, Portland, OR 97220-3966 · (503) 255-5448
  • 405 SE 133rd Ave, Portland, OR 97233-1809 · (855) 433-6825

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XD9930 (OR)
Pediatric Dentistry Primary 1223P0221XS6-195C (NV)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

18 other providers at this address

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About NPI 1841585593

Raymond Bernard Tucker, DDS's National Provider Identifier is 1841585593, issued on Jun 10, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Jun 2, 2021.