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500 Ne Multnomah St Portland OR 97232-2023 | |
| (503) 813-4939 | |
| (503) 813-4967 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Ne Multnomah St, Portland, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 8008132000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-4939 | 500 Ne Multnomah St Portland OR 97232-2023 Ph: (503) 813-4939 |
| NPI Number | 1689980740 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689980740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oregon) | Primary |
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