| West Coast Endodontics, Pc | |
|
9907 Se Division Street Ste A Portland OR 87266 | |
| (503) 762-2500 | |
| (503) 762-2504 |
| Full Name | West Coast Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 9907 Se Division Street, Portland, Oregon |
| Authorized Official Name and Position | Christina H. Vy (OWNER) |
| Authorized Official Contact | 5037622500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Endodontics, Pc 9907 Se Division Street Ste A Portland OR 97266 Ph: (503) 762-2500 | West Coast Endodontics, Pc 9907 Se Division Street Ste A Portland OR 87266 Ph: (503) 762-2500 |
| NPI Number | 1770849838 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770849838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D7631 (Oregon) | Primary |
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