Hayden Family Dentistry Group | |
732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 | |
(503) 541-2580 | |
Not Available |
Full Name | Hayden Family Dentistry Group |
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Speciality | Dentist |
Location | 732 Sw 3rd Ave, Portland, Oregon |
Authorized Official Name and Position | Jerry Slaughter (HR) |
Authorized Official Contact | 5412428904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hayden Family Dentistry Group 1740 W 17th Ave Eugene OR 97402-3619 Ph: () - | Hayden Family Dentistry Group 732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 Ph: (503) 541-2580 |
NPI Number | 1003079443 |
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Provider Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003079443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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