| Randy Allen Castle Dmd, Pc | |
|
2350 Sw Multnomah Blvd Suite B Portland OR 97219-3999 | |
| (503) 245-3515 | |
| (503) 257-3722 |
| Full Name | Randy Allen Castle Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2350 Sw Multnomah Blvd, Portland, Oregon |
| Authorized Official Name and Position | Randy Allen Castle (PRESIDENT) |
| Authorized Official Contact | 5037010191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Allen Castle Dmd, Pc 2350 Sw Multnomah Blvd Suite B Portland OR 97219-3999 Ph: (503) 245-3515 | Randy Allen Castle Dmd, Pc 2350 Sw Multnomah Blvd Suite B Portland OR 97219-3999 Ph: (503) 245-3515 |
| NPI Number | 1063766251 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063766251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9350 (Oregon) | Primary |
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