| Bethany Orthodontics | |
|
15160 Nw Laidlaw Rd Suite 200 Portland OR 97229-7707 | |
| (503) 614-8898 | |
| (503) 690-9072 |
| Full Name | Bethany Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15160 Nw Laidlaw Rd, Portland, Oregon |
| Authorized Official Name and Position | Sue-chin Liu (PRESIDENT) |
| Authorized Official Contact | 5036148898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Orthodontics 15160 Nw Laidlaw Rd Suite 200 Portland OR 97229-7707 Ph: (503) 614-8898 | Bethany Orthodontics 15160 Nw Laidlaw Rd Suite 200 Portland OR 97229-7707 Ph: (503) 614-8898 |
| NPI Number | 1154321081 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154321081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D7125 (Oregon) | Primary |
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