| Virginia Garcia Beaverton Wellness Dental | |
|
2725 Sw Cedar Hills Blvd Ste 200 Beaverton OR 97005-1344 | |
| (503) 352-7990 | |
| Not Available |
| Full Name | Virginia Garcia Beaverton Wellness Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, Oregon |
| Authorized Official Name and Position | Annmarie Dennis (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5032141652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Garcia Beaverton Wellness Dental Po Box 6149 Aloha OR 97007-0149 Ph: () - | Virginia Garcia Beaverton Wellness Dental 2725 Sw Cedar Hills Blvd Ste 200 Beaverton OR 97005-1344 Ph: (503) 352-7990 |
| NPI Number | 1184105082 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184105082 | NPI | - | NPPES |
| 38-1898 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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