| Westover Dental Clinic | |
|
419 Nw 23rd Ave Suite 102 Portland OR 97210-3470 | |
| (503) 224-2273 | |
| (503) 224-1176 |
| Full Name | Westover Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 419 Nw 23rd Ave, Portland, Oregon |
| Authorized Official Name and Position | Charles Belusko (DENTIST) |
| Authorized Official Contact | 5032242273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westover Dental Clinic 419 Nw 23rd Ave Suite 102 Portland OR 97210-3470 Ph: (503) 224-2273 | Westover Dental Clinic 419 Nw 23rd Ave Suite 102 Portland OR 97210-3470 Ph: (503) 224-2273 |
| NPI Number | 1124246285 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124246285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5148 (Oregon) | Primary |
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