| Criddle Concierge | |
|
1625 Se 192nd Ave Ste 205 Camas WA 98607-7441 | |
| (617) 762-6661 | |
| Not Available |
| Full Name | Criddle Concierge |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1625 Se 192nd Ave Ste 205, Camas, Washington |
| Authorized Official Name and Position | Thalia-rae Criddle (OWNER) |
| Authorized Official Contact | 6177626661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Criddle Concierge 5781 Sw Clay Ct Portland OR 97221-1438 Ph: (617) 762-6661 | Criddle Concierge 1625 Se 192nd Ave Ste 205 Camas WA 98607-7441 Ph: (617) 762-6661 |
| NPI Number | 1063181709 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063181709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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