| Bd-clackamas, Llc | |
|
9225 Se Sunnyside Rd Ste 1 Clackamas OR 97015-6703 | |
| (503) 905-3380 | |
| Not Available |
| Full Name | Bd-clackamas, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9225 Se Sunnyside Rd Ste 1, Clackamas, Oregon |
| Authorized Official Name and Position | Debbie Lopez (REGIONAL MANAGER) |
| Authorized Official Contact | 5039148221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bd-clackamas, Llc 9225 Se Sunnyside Rd Ste 1 Clackamas OR 97015-6703 Ph: (503) 905-3380 | Bd-clackamas, Llc 9225 Se Sunnyside Rd Ste 1 Clackamas OR 97015-6703 Ph: (503) 905-3380 |
| NPI Number | 1518646454 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518646454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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