| Jeffrey Firestone Dds Pc | |
|
732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 | |
| (503) 542-2580 | |
| Not Available |
| Full Name | Jeffrey Firestone Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 732 Sw 3rd Ave, Portland, Oregon |
| Authorized Official Name and Position | Jeffrey Firestone (OWNER) |
| Authorized Official Contact | 5035422580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Firestone Dds Pc 732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 Ph: () - | Jeffrey Firestone Dds Pc 732 Sw 3rd Ave Suite 202 Portland OR 97204-2416 Ph: (503) 542-2580 |
| NPI Number | 1760722508 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760722508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9106 (Oregon) | Primary |
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