| Krista V Badger Dds Pc | |
|
3839 Ne Tillamook St Portland OR 97212-5338 | |
| (503) 288-5891 | |
| (503) 288-1525 |
| Full Name | Krista V Badger Dds Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3839 Ne Tillamook St, Portland, Oregon |
| Authorized Official Name and Position | Krista Von Husen Badger (OWNER) |
| Authorized Official Contact | 5032885891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krista V Badger Dds Pc 3839 Ne Tillamook St Portland OR 97212-5338 Ph: (503) 288-5891 | Krista V Badger Dds Pc 3839 Ne Tillamook St Portland OR 97212-5338 Ph: (503) 288-5891 |
| NPI Number | 1376646901 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376646901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D7649 (Oregon) | Primary |
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