| Parkside Orthodontics | |
|
539 Se 39th Ave Portland OR 97214 | |
| (503) 236-3800 | |
| (503) 236-8540 |
| Full Name | Parkside Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 539 Se 39th Ave, Portland, Oregon |
| Authorized Official Name and Position | Rebecca Kuperstein (PRESIDENT) |
| Authorized Official Contact | 5032363800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Orthodontics 539 Se 39th Ave Portland OR 97214 Ph: (503) 236-3800 | Parkside Orthodontics 539 Se 39th Ave Portland OR 97214 Ph: (503) 236-3800 |
| NPI Number | 1508088758 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508088758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D8632 (Oregon) | Primary |
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