| Timber Dental East Burnside | |
|
1200 Se Sandy Blvd Portland OR 97214-1347 | |
| (503) 419-6499 | |
| Not Available |
| Full Name | Timber Dental East Burnside |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Se Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Ryan Berg (BILLING COORDINATOR) |
| Authorized Official Contact | 5034196288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timber Dental East Burnside 1200 Se Sandy Blvd Portland OR 97214-1347 Ph: (503) 419-6499 | Timber Dental East Burnside 1200 Se Sandy Blvd Portland OR 97214-1347 Ph: (503) 419-6499 |
| NPI Number | 1780140715 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780140715 | NPI | - | NPPES |
| 1295143212 | Other | NPI | |
| 1639504715 | Other | NPI | |
| 1821225442 | Other | NPI | |
| 1851845036 | Other | NPI | |
| 1952684169 | Other | NPI | |
| 1780605287 | Other | NPI | |
| 1033404751 | Other | NPI | |
| 1144213802 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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