| Mc Reynolds Dental | |
|
1698 Sw Cherry Park Rd Troutdale OR 97060-1481 | |
| (503) 988-3340 | |
| Not Available |
| Full Name | Mc Reynolds Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1698 Sw Cherry Park Rd, Troutdale, Oregon |
| Authorized Official Name and Position | Derrick Moten (INTERIM BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 5039882966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Reynolds Dental 619 Sw 6th Ave. 5th Fl Portland OR 97209 Ph: (503) 988-7468 | Mc Reynolds Dental 1698 Sw Cherry Park Rd Troutdale OR 97060-1481 Ph: (503) 988-3340 |
| NPI Number | 1821757527 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 05/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821757527 | NPI | - | NPPES |
| 22959 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gresham Troutdale Family Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-491-2422 Fax: 503-491-2434 | |
Columbia View Family Health Center P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Sw 257th Ave., Troutdale, OR 97060 Phone: 503-667-7711 Fax: 503-669-9908 | |
Multnomah County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 Fax: 503-988-4464 |