| Boones Ferry Dental | |
|
17437 Sw Boones Ferry Road Building B Suite 400 Lake Oswego OR 97035 | |
| (503) 699-6699 | |
| (503) 699-7676 |
| Full Name | Boones Ferry Dental |
|---|---|
| Speciality | Dentist |
| Location | 17437 Sw Boones Ferry Road, Lake Oswego, Oregon |
| Authorized Official Name and Position | Patrick William Morrissey (DENTIST) |
| Authorized Official Contact | 5036996699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boones Ferry Dental 17437 Sw Boones Ferry Road Building B Suite 400 Lake Oswego OR 97035 Ph: (503) 699-6699 | Boones Ferry Dental 17437 Sw Boones Ferry Road Building B Suite 400 Lake Oswego OR 97035 Ph: (503) 699-6699 |
| NPI Number | 1760430912 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760430912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7762 (Oregon) | Primary |
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