| Oral Health Outreach, Llc | |
|
4949 Meadows Rd Suite 475 Lake Oswego OR 97035-4285 | |
| (503) 702-1113 | |
| (503) 697-1990 |
| Full Name | Oral Health Outreach, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4949 Meadows Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Joseph Francis Markunas (CEO) |
| Authorized Official Contact | 5037021113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Health Outreach, Llc 4949 Meadows Rd Suite 475 Lake Oswego OR 97035-4285 Ph: (503) 702-1113 | Oral Health Outreach, Llc 4949 Meadows Rd Suite 475 Lake Oswego OR 97035-4285 Ph: (503) 702-1113 |
| NPI Number | 1194002725 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194002725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7025 (Oregon) | Primary |
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