| Herzog & Horacek Llc | |
|
10340 Se Division St Portland OR 97266-1269 | |
| (503) 256-3199 | |
| (503) 256-9383 |
| Full Name | Herzog & Horacek Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10340 Se Division St, Portland, Oregon |
| Authorized Official Name and Position | Richard S Horacek (OWNER) |
| Authorized Official Contact | 5032563199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herzog & Horacek Llc 10340 Se Division St Portland OR 97266-1269 Ph: (503) 256-3199 | Herzog & Horacek Llc 10340 Se Division St Portland OR 97266-1269 Ph: (503) 256-3199 |
| NPI Number | 1376706093 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376706093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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