| Mulnomah County | |
|
3505 Se 182nd Ave Gresham OR 97030-5028 | |
| (503) 988-5488 | |
| (503) 988-5484 |
| Full Name | Mulnomah County |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3505 Se 182nd Ave, Gresham, Oregon |
| Authorized Official Name and Position | Derrick Moten (INTERIM BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 5039882966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulnomah County 421 Sw Oak St Ste 210 Portland OR 97204-1842 Ph: (503) 988-7468 | Mulnomah County 3505 Se 182nd Ave Gresham OR 97030-5028 Ph: (503) 988-5488 |
| NPI Number | 1609369594 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 05/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609369594 | NPI | - | NPPES |
| 022959 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (Oregon) | Primary |
Vicki J Reichlein Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1388 E Powell Blvd, Gresham, OR 97030 Phone: 503-328-6388 Fax: 503-328-9776 | |
Gd Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-666-5484 | |
Sandra J. Bennett, Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22400 Se Stark St, Gresham, OR 97030 Phone: 503-667-0438 Fax: 503-665-4870 | |
Bd-gresham, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Nw Civic Dr Ste 320, Gresham, OR 97030 Phone: 503-666-2515 | |
Deca Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Ne Hood Ave Ste 235, Gresham, OR 97030 Phone: 503-661-4900 | |
Main Street Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 N Main Ave, Gresham, OR 97030 Phone: 503-665-8283 Fax: 503-669-7263 | |
Gresham Dg Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 West Powell Blvd, Gresham, OR 97030 Phone: 503-661-9696 |