| Jonna E Hongo Dmd Llc | |
|
9732 Se Washington St Ste H Portland OR 97216-8405 | |
| (503) 235-4564 | |
| (503) 255-0778 |
| Full Name | Jonna E Hongo Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9732 Se Washington St Ste H, Portland, Oregon |
| Authorized Official Name and Position | Jonna E Hongo (OWNER) |
| Authorized Official Contact | 5032354564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonna E Hongo Dmd Llc 9732 Se Washington St Ste H Portland OR 97216-8405 Ph: (503) 235-4564 | Jonna E Hongo Dmd Llc 9732 Se Washington St Ste H Portland OR 97216-8405 Ph: (503) 235-4564 |
| NPI Number | 1033624929 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033624929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5984 (Oregon) | Primary |
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