| Campbell Dental Group, Pc | |
|
5610 N Lombard St Portland OR 97203-4224 | |
| (503) 283-2553 | |
| Not Available |
| Full Name | Campbell Dental Group, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5610 N Lombard St, Portland, Oregon |
| Authorized Official Name and Position | Evan Campbell (PRESIDENT) |
| Authorized Official Contact | 5032832553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Dental Group, Pc 17065 Sw Kinglet Dr Sherwood OR 97140-8195 Ph: (503) 313-5874 | Campbell Dental Group, Pc 5610 N Lombard St Portland OR 97203-4224 Ph: (503) 283-2553 |
| NPI Number | 1710657630 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710657630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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