| Healthy Smiles Dental Hygiene Clinic | |
|
2262 N Albina Ave Suite 127 Portland OR 97227-1703 | |
| (971) 231-4959 | |
| Not Available |
| Full Name | Healthy Smiles Dental Hygiene Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2262 N Albina Ave, Portland, Oregon |
| Authorized Official Name and Position | Virginia Lee Mattfeld (OWNER /INDEPENDANT DENTAL HYGIENST) |
| Authorized Official Contact | 9712314959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Dental Hygiene Clinic 2262 N Albina Ave Suite 127 Portland OR 97227-1703 Ph: (971) 231-4959 | Healthy Smiles Dental Hygiene Clinic 2262 N Albina Ave Suite 127 Portland OR 97227-1703 Ph: (971) 231-4959 |
| NPI Number | 1851636005 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 12/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851636005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | H4964 (Oregon) | Primary |
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