The Aesthetic | |
410 1st St Lake Oswego OR 97034-3123 | |
(971) 313-1535 | |
Not Available |
Full Name | The Aesthetic |
---|---|
Speciality | Clinic/center - Dental |
Location | 410 1st St, Lake Oswego, Oregon |
Authorized Official Name and Position | Lisa Standage (OWNER/MANAGER) |
Authorized Official Contact | 9713131535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Aesthetic 325 2nd St Apt 215 Lake Oswego OR 97034-3288 Ph: (971) 313-1535 | The Aesthetic 410 1st St Lake Oswego OR 97034-3123 Ph: (971) 313-1535 |
NPI Number | 1669047973 |
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Provider Enumeration Date | 05/20/2021 |
Last Update Date | 05/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669047973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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