| Charles L Branen Dmd Pc | |
|
4433 Ne Tillamook St Portland OR 97213-1317 | |
| (503) 288-6963 | |
| (503) 288-4939 |
| Full Name | Charles L Branen Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4433 Ne Tillamook St, Portland, Oregon |
| Authorized Official Name and Position | Charles Lee Branen (DENTIST) |
| Authorized Official Contact | 5032886963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Branen Dmd Pc 4433 Ne Tillamook St Portland OR 97213-1317 Ph: (503) 288-6963 | Charles L Branen Dmd Pc 4433 Ne Tillamook St Portland OR 97213-1317 Ph: (503) 288-6963 |
| NPI Number | 1053614396 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053614396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7206 (Oregon) | Primary |
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