| Tiffany Goldwyn Dmd Pc | |
|
1616 Sw Sunset Blvd Ste B Portland OR 97239-2641 | |
| (503) 244-8112 | |
| Not Available |
| Full Name | Tiffany Goldwyn Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 Sw Sunset Blvd Ste B, Portland, Oregon |
| Authorized Official Name and Position | Tiffany Goldwyn (PRESIDENT) |
| Authorized Official Contact | 5032448112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Goldwyn Dmd Pc 1616 Sw Sunset Blvd Ste B Portland OR 97239-2641 Ph: (503) 244-8112 | Tiffany Goldwyn Dmd Pc 1616 Sw Sunset Blvd Ste B Portland OR 97239-2641 Ph: (503) 244-8112 |
| NPI Number | 1316540826 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316540826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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