| Evergreen Hospital Dentistry | |
|
8568 Sw Apple Way Portland OR 97225-1772 | |
| (503) 662-8463 | |
| Not Available |
| Full Name | Evergreen Hospital Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 8568 Sw Apple Way, Portland, Oregon |
| Authorized Official Name and Position | Benjamin James (OWNER) |
| Authorized Official Contact | 5036628463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Hospital Dentistry 1609 Se Barberry Ave Dallas OR 97338-1974 Ph: (503) 662-8463 | Evergreen Hospital Dentistry 8568 Sw Apple Way Portland OR 97225-1772 Ph: (503) 662-8463 |
| NPI Number | 1346073210 |
|---|---|
| Provider Enumeration Date | 08/24/2024 |
| Last Update Date | 08/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346073210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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