| Tanasbourne Family Dental | |
|
17895 Nw Evergreen Pkwy Suite 150 Beaverton OR 97006-7402 | |
| (503) 533-9868 | |
| (503) 533-9508 |
| Full Name | Tanasbourne Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 17895 Nw Evergreen Pkwy, Beaverton, Oregon |
| Authorized Official Name and Position | Daniel B Lee (DENTIST) |
| Authorized Official Contact | 5035339868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanasbourne Family Dental 17895 Nw Evergreen Pkwy Suite 150 Beaverton OR 97006-7402 Ph: (503) 533-9868 | Tanasbourne Family Dental 17895 Nw Evergreen Pkwy Suite 150 Beaverton OR 97006-7402 Ph: (503) 533-9868 |
| NPI Number | 1972878221 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 03/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972878221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9251 (Oregon) | Primary |
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