| North Plains Tendercare | |
|
10395 Nw Glencoe Rd Ste 100 North Plains OR 97133-8208 | |
| (503) 647-0055 | |
| (503) 647-0033 |
| Full Name | North Plains Tendercare |
|---|---|
| Speciality | Dentist |
| Location | 10395 Nw Glencoe Rd Ste 100, North Plains, Oregon |
| Authorized Official Name and Position | Andrew Lee Thompson (OWNER) |
| Authorized Official Contact | 5036470055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Plains Tendercare 10395 Nw Glencoe Rd Ste 100 North Plains OR 97133-8208 Ph: (503) 647-0055 | North Plains Tendercare 10395 Nw Glencoe Rd Ste 100 North Plains OR 97133-8208 Ph: (503) 647-0055 |
| NPI Number | 1619237955 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619237955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7612 (Oregon) | Primary |
North Plains Tender Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10395 Nw Glencoe Rd, Ste # 100, North Plains, OR 97133 Phone: 503-647-0055 Fax: 503-647-0033 |