| Portsmouth Dental Care | |
|
5228 N Lombard St Portland OR 97203 | |
| (503) 289-7043 | |
| (503) 289-1425 |
| Full Name | Portsmouth Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5228 N Lombard St, Portland, Oregon |
| Authorized Official Name and Position | James Vaughn Frohnmayer (PRESIDENT) |
| Authorized Official Contact | 5037352182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portsmouth Dental Care 5228 N Lombard St Portland OR 97203 Ph: (503) 289-7043 | Portsmouth Dental Care 5228 N Lombard St Portland OR 97203 Ph: (503) 289-7043 |
| NPI Number | 1437234200 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437234200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4218 (Oregon) | Primary |
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