| Vicki J Reichlein Dmd Pc | |
|
1388 E Powell Blvd Gresham OR 97030-8004 | |
| (503) 328-6388 | |
| (503) 328-9776 |
| Full Name | Vicki J Reichlein Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1388 E Powell Blvd, Gresham, Oregon |
| Authorized Official Name and Position | Vicki J Reichlein (OWNER) |
| Authorized Official Contact | 9712197114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki J Reichlein Dmd Pc 13201 Se Blackberry Cir Portland OR 97236-4995 Ph: (971) 219-7114 | Vicki J Reichlein Dmd Pc 1388 E Powell Blvd Gresham OR 97030-8004 Ph: (503) 328-6388 |
| NPI Number | 1003572223 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003572223 | NPI | - | NPPES |
| 150298 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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