| Mt. Hood Family Dental | |
|
15230 Se 82nd Dr Clackamas OR 97015-9606 | |
| (503) 655-9000 | |
| Not Available |
| Full Name | Mt. Hood Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15230 Se 82nd Dr, Clackamas, Oregon |
| Authorized Official Name and Position | Tiffany Brown (DENTIST-OWNER) |
| Authorized Official Contact | 5038042275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Hood Family Dental 15230 Se 82nd Dr Clackamas OR 97015-9606 Ph: (503) 655-9000 | Mt. Hood Family Dental 15230 Se 82nd Dr Clackamas OR 97015-9606 Ph: (503) 655-9000 |
| NPI Number | 1659889822 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659889822 | NPI | - | NPPES |
| 1528449402 | Other | OR | DENTIST-GENERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10243 (Oregon) | Primary |
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