| Scappoose Dental Specialty Clinic, Llc | |
|
51701 Columbia River Hwy Scappoose OR 97056-4441 | |
| (503) 987-1378 | |
| (503) 467-5592 |
| Full Name | Scappoose Dental Specialty Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 51701 Columbia River Hwy, Scappoose, Oregon |
| Authorized Official Name and Position | Tsung-ju Hsieh (PRESIDENT) |
| Authorized Official Contact | 5039871378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scappoose Dental Specialty Clinic, Llc 51701 Columbia River Hwy Scappoose OR 97056-4441 Ph: (503) 987-1378 | Scappoose Dental Specialty Clinic, Llc 51701 Columbia River Hwy Scappoose OR 97056-4441 Ph: (503) 987-1378 |
| NPI Number | 1275808826 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275808826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D8383 (Oregon) | Secondary |
| 261QD0000X | Clinic/center - Dental | D8764 (Oregon) | Primary |
Kendall R. Liday Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33640 E Columbia Ave, Scappoose, OR 97056 Phone: 503-543-4949 Fax: 503-543-7152 | |
Arrow Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51509 Columbia River Hwy, Scappoose, OR 97056 Phone: 503-987-1923 |