| Tanasbourne Dental Office | |
|
19075 Nw Tanasbourne Dr Ste 300 Hillsboro OR 97124-5802 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Tanasbourne Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanasbourne Dental Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Tanasbourne Dental Office 19075 Nw Tanasbourne Dr Ste 300 Hillsboro OR 97124-5802 Ph: (800) 813-2000 |
| NPI Number | 1669980348 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669980348 | NPI | - | NPPES |
| 500675725 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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