| Ofp Llc | |
|
691 7th St Lake Oswego OR 97034-2207 | |
| (503) 635-9784 | |
| Not Available |
| Full Name | Ofp Llc |
|---|---|
| Speciality | Dentist |
| Location | 691 7th St, Lake Oswego, Oregon |
| Authorized Official Name and Position | Joseph Richard Leben (SOLE PROPRIETOR) |
| Authorized Official Contact | 5036359784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ofp Llc 691 7th St Lake Oswego OR 97034-2207 Ph: (503) 635-9784 | Ofp Llc 691 7th St Lake Oswego OR 97034-2207 Ph: (503) 635-9784 |
| NPI Number | 1891903951 |
|---|---|
| Provider Enumeration Date | 05/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891903951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4447 (Oregon) | Primary |
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