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150 Ne 3rd Ave Canby OR 97013-3712 | |
| (503) 266-2629 | |
| (503) 266-2625 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 Ne 3rd Ave, Canby, Oregon |
| Authorized Official Name and Position | Kim Denise Churchwell (OFFICE MANAGER) |
| Authorized Official Contact | 5032662629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
150 Ne 3rd Ave Canby OR 97013-3712 Ph: (503) 266-2629 | 150 Ne 3rd Ave Canby OR 97013-3712 Ph: (503) 266-2629 |
| NPI Number | 1962777532 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962777532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6435 (Oregon) | Primary |
David H Gisborne, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 Sw 2nd Ave, Canby, OR 97013 Phone: 503-266-5596 Fax: 503-263-1637 | |
Bd-canby, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Se 3rd Ct, Canby, OR 97013 Phone: 503-266-2033 | |
C Steven Hagler Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Holly St, Canby, OR 97013 Phone: 503-266-1117 Fax: 503-266-9114 | |
Richard P. Sale, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Nw 3rd Ave, Canby, OR 97013 Phone: 503-266-2705 Fax: 503-266-2973 | |