| Salud Dental Center | |
|
1175 Mount Hood Ave Woodburn OR 97071-0066 | |
| (503) 982-2000 | |
| Not Available |
| Full Name | Salud Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1175 Mount Hood Ave, Woodburn, Oregon |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Dental Center Po Box 190 Toppenish WA 98948-0190 Ph: (503) 982-2000 | Salud Dental Center 1175 Mount Hood Ave Woodburn OR 97071-0066 Ph: (503) 982-2000 |
| NPI Number | 1568591766 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568591766 | NPI | - | NPPES |
| 022793 | Medicaid | OR | |
| 011427000 | Other | OR | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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