| David N Carothers Dds Pc | |
|
10101 Se Main St Suite 3009 Portland OR 97216-2455 | |
| (503) 257-3033 | |
| (503) 253-8723 |
| Full Name | David N Carothers Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 10101 Se Main St, Portland, Oregon |
| Authorized Official Name and Position | David N Carothers (OWNER) |
| Authorized Official Contact | 5032573033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David N Carothers Dds Pc 10101 Se Main St Suite 3009 Portland OR 97216-2455 Ph: (503) 257-3033 | David N Carothers Dds Pc 10101 Se Main St Suite 3009 Portland OR 97216-2455 Ph: (503) 257-3033 |
| NPI Number | 1831647593 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 9234414616 |
|---|---|
| Medicare Enrollment ID | O20170327002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831647593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5684 (Oregon) | Primary |
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