| MC Reynolds Dental | |
|
1698 Sw Cherry Park Rd Troutdale OR 97060-1481 | |
| (503) 988-3340 | |
| Not Available |
| Full Name | MC Reynolds Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1698 Sw Cherry Park Rd, Troutdale, Oregon |
| Authorized Official Name and Position | Antoinette Payne (BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 9713256412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| MC Reynolds Dental 619 Sw 6th Ave. 5th Fl Portland OR 97209 Ph: (503) 988-7468 | MC Reynolds Dental 1698 Sw Cherry Park Rd Troutdale OR 97060-1481 Ph: (503) 988-3340 |
| NPI Number | 1821757527 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 08/28/2026 |
| Certification Date | 08/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821757527 | NPI | - | NPPES |
| 22959 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Gresham Troutdale Family Medical Center PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-491-2422 Fax: 503-491-2434 |
Columbia View Family Health Center P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Sw 257th Ave., Troutdale, OR 97060 Phone: 503-667-7711 Fax: 503-669-9908 |
MC Reynolds Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 Fax: 503-988-4464 |
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