| Andrew Henderson Dmd P.c. | |
|
9020 Sw Washington Square Rd Ste 570 Tigard OR 97223-4477 | |
| (503) 862-9086 | |
| Not Available |
| Full Name | Andrew Henderson Dmd P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9020 Sw Washington Square Rd Ste 570, Tigard, Oregon |
| Authorized Official Name and Position | Andrew Henderson (PRESIDENT) |
| Authorized Official Contact | 5038629086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Henderson Dmd P.c. 6414 Frost St Lake Oswego OR 97035-4611 Ph: (801) 850-8084 | Andrew Henderson Dmd P.c. 9020 Sw Washington Square Rd Ste 570 Tigard OR 97223-4477 Ph: (503) 862-9086 |
| NPI Number | 1518577865 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518577865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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