| Pacific Oak Dental | |
|
2031 Hawthorne St Ste A Forest Grove OR 97116-1700 | |
| (503) 357-9122 | |
| Not Available |
| Full Name | Pacific Oak Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2031 Hawthorne St Ste A, Forest Grove, Oregon |
| Authorized Official Name and Position | Jared Michael Thompson (MANAGING MEMBER) |
| Authorized Official Contact | 5033579122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Oak Dental 2031 Hawthorne St Ste A Forest Grove OR 97116-1700 Ph: (503) 357-9122 | Pacific Oak Dental 2031 Hawthorne St Ste A Forest Grove OR 97116-1700 Ph: (503) 357-9122 |
| NPI Number | 1396014338 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396014338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8734 (Oregon) | Primary |
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