| Cedar Creek Dental | |
|
11786 Sw Barnes Rd Ste 360 Portland OR 97225-5930 | |
| (503) 646-1811 | |
| (503) 924-1698 |
| Full Name | Cedar Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11786 Sw Barnes Rd Ste 360, Portland, Oregon |
| Authorized Official Name and Position | Cindy Knutsen (OFFICE ADMIN) |
| Authorized Official Contact | 5036461811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Creek Dental 11786 Sw Barnes Rd Ste 360 Portland OR 97225-5930 Ph: (503) 646-1811 | Cedar Creek Dental 11786 Sw Barnes Rd Ste 360 Portland OR 97225-5930 Ph: (503) 646-1811 |
| NPI Number | 1104185560 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104185560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5228 (Oregon) | Primary |
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