| Dentistry One Of Oregon Pc | |
|
401 Ne 19th Ave Ste 200 Portland OR 97232-4800 | |
| (877) 712-7875 | |
| Not Available |
| Full Name | Dentistry One Of Oregon Pc |
|---|---|
| Speciality | Dentist |
| Location | 401 Ne 19th Ave Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Hillary Berry (OWNER) |
| Authorized Official Contact | 8777127875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry One Of Oregon Pc 460 Main St Ste B Metuchen NJ 08840-1834 Ph: () - | Dentistry One Of Oregon Pc 401 Ne 19th Ave Ste 200 Portland OR 97232-4800 Ph: (877) 712-7875 |
| NPI Number | 1073294989 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073294989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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