Portland Dental And Naturopathic Clinic | |
9045 Sw Barbur Blvd Ste 122 Portland OR 97219-4028 | |
(503) 244-2432 | |
(503) 244-7325 |
Full Name | Portland Dental And Naturopathic Clinic |
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Speciality | Dentist |
Location | 9045 Sw Barbur Blvd Ste 122, Portland, Oregon |
Authorized Official Name and Position | Rohina Azizi (PRESIDENT/OWNER) |
Authorized Official Contact | 5032442432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Portland Dental And Naturopathic Clinic 9045 Sw Barbur Blvd Ste 122 Portland OR 97219-4028 Ph: (503) 244-2432 | Portland Dental And Naturopathic Clinic 9045 Sw Barbur Blvd Ste 122 Portland OR 97219-4028 Ph: (503) 244-2432 |
NPI Number | 1760805022 |
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Provider Enumeration Date | 01/22/2014 |
Last Update Date | 08/25/2016 |
Identifier | Type | State | Issuer |
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1760805022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D6840 (Oregon) | Primary |
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