| Dental Professionals Of Oregon, P.c. | |
|
12850 Sw Canyon Rd Ste A Beaverton OR 97005-2166 | |
| (503) 376-8537 | |
| Not Available |
| Full Name | Dental Professionals Of Oregon, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12850 Sw Canyon Rd Ste A, Beaverton, Oregon |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Oregon, P.c. 12850 Sw Canyon Rd Ste A Beaverton OR 97005-2166 Ph: (503) 376-8537 | Dental Professionals Of Oregon, P.c. 12850 Sw Canyon Rd Ste A Beaverton OR 97005-2166 Ph: (503) 376-8537 |
| NPI Number | 1508484205 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508484205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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