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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NE 82ND AVENUE DENTAL LLC

Active Organization

NE 82ND AVENUE DENTAL LLC is a Dental Clinic organization located in PORTLAND, Oregon. NPI 1700192184 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · PORTLAND, OR

Registration Details

NPI Number
1700192184
Provider Type
Organization
NPI Issued
Aug 24, 2010 (16.007477150742 yrs)
Last Updated
Aug 24, 2010
Licenses
D9389 (OR)
D8961 (OR)
D8506 (OR)

Practice Information

Address
2150 NE 82ND AVE
PORTLAND, OR, 972205607
Browse OR providers · Browse ZIP 97220
Phone
5032540897
Fax
5032540894
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic
Additional Specialty
Dental Clinic

Other Dental Clinic Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.