| Timber Dental Downtown Llc | |
|
310 Sw 4th Ave Ste 100 Portland OR 97204-2345 | |
| (503) 336-3373 | |
| Not Available |
| Full Name | Timber Dental Downtown Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Sw 4th Ave Ste 100, Portland, Oregon |
| Authorized Official Name and Position | Ryan Berg (BILLING COORDINATOR) |
| Authorized Official Contact | 5034196288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timber Dental Downtown Llc 310 Sw 4th Ave Ste 100 Portland OR 97204-2345 Ph: (503) 336-3373 | Timber Dental Downtown Llc 310 Sw 4th Ave Ste 100 Portland OR 97204-2345 Ph: (503) 336-3373 |
| NPI Number | 1083279384 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083279384 | NPI | - | NPPES |
| 1851845036 | Other | NPI | |
| 1033404751 | Other | NPI | |
| 1144213802 | Other | NPI | |
| 1780605287 | Other | NPI | |
| 1821225442 | Other | NPI | |
| 1952684169 | Other | NPI | |
| 1295143212 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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