| Peter Douglas Dds Llc | |
|
12011 Sw 70th Ave Tigard OR 97223-9634 | |
| (503) 616-2024 | |
| (503) 616-2328 |
| Full Name | Peter Douglas Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12011 Sw 70th Ave, Tigard, Oregon |
| Authorized Official Name and Position | Peter Douglas (OWNER) |
| Authorized Official Contact | 7125606260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Douglas Dds Llc 12011 Sw 70th Ave Tigard OR 97223-9634 Ph: (503) 616-2024 | Peter Douglas Dds Llc 12011 Sw 70th Ave Tigard OR 97223-9634 Ph: (503) 616-2024 |
| NPI Number | 1063234722 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063234722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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