| Beaverton Orthodontics, Pc | |
|
14795 Sw Murray Scholls Dr Ste 119 Beaverton OR 97007-9713 | |
| (503) 524-0524 | |
| Not Available |
| Full Name | Beaverton Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14795 Sw Murray Scholls Dr, Beaverton, Oregon |
| Authorized Official Name and Position | Steven W. Black (PRESIDENT) |
| Authorized Official Contact | 5035240524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Orthodontics, Pc Po Box 1891 Lake Oswego OR 97035-0612 Ph: () - | Beaverton Orthodontics, Pc 14795 Sw Murray Scholls Dr Ste 119 Beaverton OR 97007-9713 Ph: (503) 524-0524 |
| NPI Number | 1447515747 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 07/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447515747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D6736 (Oregon) | Primary |
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