| Bradford J Rhodes Dmd | |
|
1110 Se 122nd Ave Portland OR 97233-1112 | |
| (503) 255-7095 | |
| Not Available |
| Full Name | Bradford J Rhodes Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1110 Se 122nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Catherine Jensen (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 8005442345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford J Rhodes Dmd Po Box 4400 Salem OR 97302-8400 Ph: (800) 544-2345 | Bradford J Rhodes Dmd 1110 Se 122nd Ave Portland OR 97233-1112 Ph: (503) 255-7095 |
| NPI Number | 1992361851 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992361851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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